{"reporting_entity_name":"Molina-Healthcare-of-SouthCarolina","reporting_entity_type":"health insurance issuer","last_updated_on":"2026-08-07","version":"2.0.0","provider_references":[{"provider_group_id":216343,"network_name":["SC Network"],"provider_groups":[{"npi":[1871556654],"tin":{"type":"ein","value":"582350753","business_name":"MARTIN CHIROPRACTIC PA INC"}}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3320F","description":"0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1BODY TEMP MEAS GT or equal to 35.5C IN 30-15 MINS POST AN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4559F","description":"1BODY TEMP MEAS GT or equal to 35.5C IN 30-15 MINS POST AN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 LT ANTIPSY RX DX SCZ OR BP DIS 1/1 YR RX ANTIPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0032","description":"2 LT ANTIPSY RX DX SCZ OR BP DIS 1/1 YR RX ANTIPSY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 LT BENZODIAZ SEIZ REM BNZ WD ETH WD GAD IPSD BNZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0033","description":"2 LT BENZODIAZ SEIZ REM BNZ WD ETH WD GAD IPSD BNZ","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"90649","description":"4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":157.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT DEXTROSE LACTATED RINGERS INFUSION TO 1000 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7121","description":"5 PCT DEXTROSE LACTATED RINGERS INFUSION TO 1000 CC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":7.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.86,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"7 STANDARD FLD RETINAL PHOTO W/O EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2025F","description":"7 STANDARD FLD RETINAL PHOTO W/O EVC RTNOPTHY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"90651","description":"9VHPV VACC 2/3 DOSE SCHED IM USE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":323.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.7,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION IRE 1 Plus TUMORS PR ORGN W/FLUOR and US GDN OPN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0601T","description":"ABLATION IRE 1 Plus TUMORS PR ORGN W/FLUOR and US GDN OPN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ IRE 1 Plus TUM ORGN OTH/THN LVR/PRST8 IMG PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0600T","description":"ABLTJ IRE 1 Plus TUM ORGN OTH/THN LVR/PRST8 IMG PERQ","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AC BR EPIS PT NU/REFILL RX ABX 30 D PRIOR EPS DT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2177","description":"AC BR EPIS PT NU/REFILL RX ABX 30 D PRIOR EPS DT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 THER NOT PRS DUR MST PER RSN NT GV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1203","description":"ACE INHIB/ARB THER NOT PRS DUR MST PER RSN NT GV","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 THERAP PRESCRIBED DUR MSMT PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1200","description":"ACE INHIBITOR/ARB THERAP PRESCRIBED DUR MSMT PER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8473","description":"ACE INHIBITOR/ARB THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB TX NOT PRESCRIBED RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8475","description":"ACE INHIBITOR/ARB TX NOT PRESCRIBED RSN NOT GVN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE INHIBITOR/ARB TX NOT PRSC RSNS DOC BY CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8474","description":"ACE INHIBITOR/ARB TX NOT PRSC RSNS DOC BY CLIN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP GT 7 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1034","description":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP GT 7 D","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS CURRENTLY TAKING PHARMACOTHERAPY FOR OUD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1032","description":"ADULTS CURRENTLY TAKING PHARMACOTHERAPY FOR OUD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS DELIB PH OUT MAT PRI TO 180 DA CONT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1035","description":"ADULTS DELIB PH OUT MAT PRI TO 180 DA CONT TX","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS NOT AL 180 D CONT PT PSCR OUD NO GAP GT 7 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1036","description":"ADULTS NOT AL 180 D CONT PT PSCR OUD NO GAP GT 7 D","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULTS WHO ARE NOT AMBULATORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1068","description":"ADULTS WHO ARE NOT AMBULATORY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANC RHEUMATOLOGY PT CARE MIPS VALUE PATHWAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0053","description":"ADVANC RHEUMATOLOGY PT CARE MIPS VALUE PATHWAYS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCING CANCER CARE MIPS VALUE PATHWAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0001","description":"ADVANCING CANCER CARE MIPS VALUE PATHWAYS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCING CARE HEART DISEASE MIPS VALUE PATHWAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0055","description":"ADVANCING CARE HEART DISEASE MIPS VALUE PATHWAYS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92650","description":"AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":17.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.66,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3100.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":3100.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3100.17,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":21.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.18,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":22.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.88,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":42.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.36,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":44.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.27,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGY/IMMUNOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0060","description":"ALLERGY/IMMUNOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGEN PER CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4212","description":"ALLOGEN PER CC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3148.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":3148.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3148.8,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALPROSTADIL URETHRAL SUPPOSITORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0275","description":"ALPROSTADIL URETHRAL SUPPOSITORY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":61.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.02,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROGEN DEP TX RX/ADMN COMB EXT BEAM RT TO PROS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9894","description":"ANDROGEN DEP TX RX/ADMN COMB EXT BEAM RT TO PROS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 C DLVR FLWG NEURAXIAL LABOR ANALG/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01968","description":"ANES C DLVR FLWG NEURAXIAL LABOR ANALG/ANES","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":209.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTH DID NOT INVOLVE GENERAL/NEURAXIAL ANESTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4560F","description":"ANESTH DID NOT INVOLVE GENERAL/NEURAXIAL ANESTH","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0061","description":"ANESTHESIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":42.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.13,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":42.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.13,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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 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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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 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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":"2022","billing_code":"97035","description":"APPL MODALITY 1 Plus AREAS ULTRASOUND EA 15 MIN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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 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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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 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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":"2022","billing_code":"97022","description":"APPLICATION MODALITY 1 OR GT AREAS WHIRLPOOL","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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 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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASCENT 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4213","description":"ASCENT 0.5 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":56.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.53,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1055","description":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN/ANOTH AP TX NOT USED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1057","description":"ASPIRIN/ANOTH AP TX NOT USED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0062","description":"AUDIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ALYS BINOCULAR EYE MVMT ASSMT CONCUSSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0615T","description":"AUTO ALYS BINOCULAR EYE MVMT ASSMT CONCUSSION","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":246.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AZITHROMYCIN DIHYDRATE ORAL CAP/POWDER 1 GRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0144","description":"AZITHROMYCIN DIHYDRATE ORAL CAP/POWDER 1 GRAM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":24.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.3,"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":"2022","billing_code":"90585","description":"BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":179.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PAIN MSR VAS 1 YR PO GT 3.0 IMPV LT 5.0 PNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2139","description":"BACK PAIN MSR VAS 1 YR PO GT 3.0 IMPV LT 5.0 PNTS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PAIN MSR VAS 1 YR PO LT or equal to 3.0 IMPV 5.0 PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2138","description":"BACK PAIN MSR VAS 1 YR PO LT or equal to 3.0 IMPV 5.0 PT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PAIN MSR VAS 3MO PO GT 3.0 IMPRV PO IMPV LT 5 PTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2137","description":"BACK PAIN MSR VAS 3MO PO GT 3.0 IMPRV PO IMPV LT 5 PTS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PAIN MSR VAS/3 MO PO LT ./ Equal to 3.0 IMPR 5.0 PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2136","description":"BACK PAIN MSR VAS/3 MO PO LT ./ Equal to 3.0 IMPR 5.0 PT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BECAPLERMIN GEL 0.01 PCT 0.5 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0157","description":"BECAPLERMIN GEL 0.01 PCT 0.5 GM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":44.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.6,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER THERAPY NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8452","description":"BETA-BLOCKER THERAPY NOT PRESCRIBED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKR TX LVEF LT or equal to 40 PCT NOT PRESCR RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8451","description":"BETA-BLOCKR TX LVEF LT or equal to 40 PCT NOT PRESCR RSN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIODFENCE DRYFLEX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4138","description":"BIODFENCE DRYFLEX PER SQ CM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIODFENCE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4140","description":"BIODFENCE PER SQ CM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREP CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47143","description":"BKBENCH PREP CADAVER DONOR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":215.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.04,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE MSR NOT PERF/DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8478","description":"BLOOD PRESSURE MSR NOT PERF/DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":22.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":7.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.92,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP NOT MSR VAS/NPS W/I 3 MOS PREOP and AT 1 YR P/O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9946","description":"BP NOT MSR VAS/NPS W/I 3 MOS PREOP and AT 1 YR P/O","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BP NOT MSR VAS/NUM PS AT THREE MONTHS POSTOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9943","description":"BP NOT MSR VAS/NUM PS AT THREE MONTHS POSTOP","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":52.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":661.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":661.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.28,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":23.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":7.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":23.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":14.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":295.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":304.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.42,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR OUTP MEAS DRG CAR CATH EVAL CGEN HRT DEFECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93598","description":"CAR OUTP MEAS DRG CAR CATH EVAL CGEN HRT DEFECT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":44.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":57.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.58,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0063","description":"CARDIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 INTIMA MEDIA AND CAROTID ATHEROMA EVAL BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93895","description":"CAROTID INTIMA MEDIA AND CAROTID ATHEROMA EVAL BI","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":170.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CASES WHICH AN INHALATION ANES USED ONLY FOR IND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9955","description":"CASES WHICH AN INHALATION ANES USED ONLY FOR IND","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4580","description":"CAST SUPPLIES","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":17.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.27,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.92,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":29.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.5,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERTIFIED NURSE MIDWIFE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0064","description":"CERTIFIED NURSE MIDWIFE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":"2022","billing_code":"98940","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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 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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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"}]}]},{"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":77.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":77.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":77.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0065","description":"CHIROPRACTIC MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORAMBUCIL ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0172","description":"CHLORAMBUCIL ORAL 2 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":568.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":568.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":585.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":585.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORPROMAZINE HYDROCHLORIDE 5 MG ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0161","description":"CHLORPROMAZINE HYDROCHLORIDE 5 MG ORAL","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLERA VACCINE ADULT 1 DOSE LIVE FOR ORAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90625","description":"CHOLERA VACCINE ADULT 1 DOSE LIVE FOR ORAL USE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":286.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINEPLASTY UPPER EXTREMITY COMPLETE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24940","description":"CINEPLASTY UPPER EXTREMITY COMPLETE PROCEDURE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":630.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":630.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCADIAN RESPIRATORY PATTERN REC 12-24 HR INFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94772","description":"CIRCADIAN RESPIRATORY PATTERN REC 12-24 HR INFT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":248.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":97.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.48,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MED RSN NOT PRFM LW EXT NEURO EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2179","description":"CLIN DOC PT MED RSN NOT PRFM LW EXT NEURO EXAM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NO LE NEURO EX MSR EXMPL PT BIL AMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2178","description":"CLIN DOC PT NO LE NEURO EX MSR EXMPL PT BIL AMP","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 EVAL FTWR PT BIL LW EXT AMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2180","description":"CLIN DOC PT NOT ELIG EVAL FTWR PT BIL LW EXT AMP","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8416","description":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN REF PT TO ANOTH CLIN RECVD RPT CLIN PT REFD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9969","description":"CLIN REF PT TO ANOTH CLIN RECVD RPT CLIN PT REFD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN REF PT TO ANR CLIN NOT RECV RPT CLIN PT REF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9970","description":"CLIN REF PT TO ANR CLIN NOT RECV RPT CLIN PT REF","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINIC FU MRS SCR 90DAY FLW ENDOVAS STROKE INTRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0045","description":"CLINIC FU MRS SCR 90DAY FLW ENDOVAS STROKE INTRV","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINIC FU MRS SCR NOT ASSESS 90DAY FLW EV STROKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0046","description":"CLINIC FU MRS SCR NOT ASSESS 90DAY FLW EV STROKE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINIC NODE NEG IBC BEF/AFT NEOADJUVANT SYS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9911","description":"CLINIC NODE NEG IBC BEF/AFT NEOADJUVANT SYS TX","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINIC VISIT/ENCOUNTER ALL-INCLUSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1015","description":"CLINIC VISIT/ENCOUNTER ALL-INCLUSIVE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":179.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.45,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SOCIAL WORK MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0066","description":"CLINICAL SOCIAL WORK MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DETERMINE PT DOES NOT REQUIRE REFERRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0038","description":"CLINICIAN DETERMINE PT DOES NOT REQUIRE REFERRAL","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":119.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":19.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":66.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.93,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPATIBILITY EACH UNIT ANTIGLOBULIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86922","description":"COMPATIBILITY EACH UNIT ANTIGLOBULIN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":42.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.0,"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":"2022","billing_code":"86920","description":"COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONNJ LVR ALGRFT NRMTHRMC PRFUJ DEV 1ST 4 HOURS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0895T","description":"CONNJ LVR ALGRFT NRMTHRMC PRFUJ DEV 1ST 4 HOURS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONNJ LVR ALGRFT NRMTHRMC PRFUJ DEV EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0896T","description":"CONNJ LVR ALGRFT NRMTHRMC PRFUJ DEV EA ADDL HOUR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PILLS FOR BIRTH CONTROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4993","description":"CONTRACEPTIVE PILLS FOR BIRTH CONTROL","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.15,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":5.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.58,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":76.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.03,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":12.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORD STROKE PREV CULTIVT Plus OUTCOM MIPS VAL PATHW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0054","description":"COORD STROKE PREV CULTIVT Plus OUTCOM MIPS VAL PATHW","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":18.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.31,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":19.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.71,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":15.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.21,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPPER CU-64 DOTATATE DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9592","description":"COPPER CU-64 DOTATATE DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":947.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":947.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":947.1,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":396.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":396.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":476.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":476.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":79.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.8,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1009","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1010","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1011","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1012","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1013","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1014","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTISTRY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0067","description":"DENTISTRY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEPRESS ANXIETY APATHY and PSYCHOSIS NOT ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2122","description":"DEPRESS ANXIETY APATHY and PSYCHOSIS NOT ASSESSED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ANXIETY APATHY and PSYCHOSIS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2121","description":"DEPRESSION ANXIETY APATHY and PSYCHOSIS ASSESSED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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-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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMATOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4000","description":"DERMATOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESION DENTOALVEOLAR STRUCTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41850","description":"DESTRUCTION LESION DENTOALVEOLAR STRUCTURES","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":32.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.2,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":12.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.4,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":12.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.82,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"96110","description":"DEVELOPMENTAL SCREEN W/SCORING and DOC STD INSTRM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":7.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.41,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":92.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":98.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC RADIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4001","description":"DIAGNOSTIC RADIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":8.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.78,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL BREAST TOMOSYNTHESIS BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77062","description":"DIGITAL BREAST TOMOSYNTHESIS BILATERAL","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":26.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":66.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":92.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL BREAST TOMOSYNTHESIS UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77061","description":"DIGITAL BREAST TOMOSYNTHESIS UNILATERAL","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":103.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":26.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":72.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.17,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIPHTH TETANUS TOX ACELL PERTUSSIS VACC LT 7 YR IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90700","description":"DIPHTH TETANUS TOX ACELL PERTUSSIS VACC LT 7 YR IM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":26.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":29.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.82,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE ACTIVITY NOT ASSESSED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1006","description":"DISEASE ACTIVITY NOT ASSESSED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MODIFYING PHARMACOTHERAPY DISCUSSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4540F","description":"DISEASE MODIFYING PHARMACOTHERAPY DISCUSSED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ADV STAGE DEMENTIA AND CAREGIVER KNWL LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9917","description":"DOC ADV STAGE DEMENTIA AND CAREGIVER KNWL LIMITED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC CHA2DS2-VASC RS 0/1 FOR MN; /0 1/ 2 FOR WOMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9931","description":"DOC CHA2DS2-VASC RS 0/1 FOR MN; /0 1/ 2 FOR WOMN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC IMM CP INH TX NOT CCS/IMS PRESCRIBED NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1185","description":"DOC IMM CP INH TX NOT CCS/IMS PRESCRIBED NO RSN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC IMM CP INHIBITR TX HLD and CCS OR IMS RX OR ADM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1183","description":"DOC IMM CP INHIBITR TX HLD and CCS OR IMS RX OR ADM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC KIDNEY HLTH EVL DEFINE EGFR and UACR PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1189","description":"DOC KIDNEY HLTH EVL DEFINE EGFR and UACR PERFORMED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC KIDNEY HLTH EVL NOT PERF OR DEFIN EGFR and UACR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1190","description":"DOC KIDNEY HLTH EVL NOT PERF OR DEFIN EGFR and UACR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC M RSN NOT RX/ADM AD TX COMB EXT BEAM RT PROS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9895","description":"DOC M RSN NOT RX/ADM AD TX COMB EXT BEAM RT PROS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 REAS NOT RX ACE INHIB/ARB THERP DUR MSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1201","description":"DOC MED REAS NOT RX ACE INHIB/ARB THERP DUR MSMT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 FOR NOT ADMINIST PNEUMOCOCCAL VAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1178","description":"DOC MED REASON FOR NOT ADMINIST PNEUMOCOCCAL VAC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 ON DAILY ASP/OTH ANTIPLATELET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2128","description":"DOC MED RSN NOT ON DAILY ASP/OTH ANTIPLATELET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN PRESCRIBING SYSTEMIC ANTIMICROBIALS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9960","description":"DOC MED RSN PRESCRIBING SYSTEMIC ANTIMICROBIALS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 NOT ADMINISTER TD OR TDAP VAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1172","description":"DOC MEDICAL REASON NOT ADMINISTER TD OR TDAP VAC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MEDICAL RSN NOT SCR FOR TB/INTPRET RESULTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1004","description":"DOC MEDICAL RSN NOT SCR FOR TB/INTPRET RESULTS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 DX DEG NEURO COND ALS/PARKINSON'S DX TM E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1112","description":"DOC PT DX DEG NEURO COND ALS/PARKINSON'S DX TM E","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 DX DEG NEURO COND DX TM BEFORE/DUR EOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1127","description":"DOC PT DX DEG NEURO COND DX TM BEFORE/DUR EOC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 DX DEGEN NEURO CND DX ANY TM EPIS CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2151","description":"DOC PT DX DEGEN NEURO CND DX ANY TM EPIS CARE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 DX DEGEN NEURO COND DX TM BEFOR/DUR EOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1122","description":"DOC PT DX DEGEN NEURO COND DX TM BEFOR/DUR EOC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT PRIM HA DX and IMAG OTH THAN CT/MRI OBTAIND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1028","description":"DOC PT PRIM HA DX and IMAG OTH THAN CT/MRI OBTAIND","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 NO PRSC ACE INHIB/ARB/ARNI THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2094","description":"DOC PT REASON NO PRSC ACE INHIB/ARB/ARNI THERAPY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REAS SURG RPT NOT TST MMR IHC MSI DNA NT INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1194","description":"DOC REAS SURG RPT NOT TST MMR IHC MSI DNA NT INC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC STAT PT DX DEG NEURO COND DX TM BFOR/DUR EOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1107","description":"DOC STAT PT DX DEG NEURO COND DX TM BFOR/DUR EOC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC STAT PT DX DEG NEURO COND DX TM BFR/DUR EOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1131","description":"DOC STAT PT DX DEG NEURO COND DX TM BFR/DUR EOC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC STATING PT DX DEGEN NEURO COND DX TIME EOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1117","description":"DOC STATING PT DX DEGEN NEURO COND DX TIME EOC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 INTVL LT 3 YRS SINCE LAST COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9999","description":"DOC SYS RSN INTVL LT 3 YRS SINCE LAST COLONOSCOPY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM MED REAS INTERVAL LT 3 YR SINCE LST COLONSCP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9998","description":"DOCUM MED REAS INTERVAL LT 3 YR SINCE LST COLONSCP","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM MED REASN FOR NOT ADMINISTERING ZOSTER VAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1175","description":"DOCUM MED REASN FOR NOT ADMINISTERING ZOSTER VAC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM MED REASN NOT RX/ADMIN CCS OR IMMUNOSUP TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1184","description":"DOCUM MED REASN NOT RX/ADMIN CCS OR IMMUNOSUP TX","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM MEDICAL REASON NOT ADMIN INFLUENZA VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1169","description":"DOCUM MEDICAL REASON NOT ADMIN INFLUENZA VACCINE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM PT PREG DUR MEAS PER PRIOR TO and INCL CUR ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9997","description":"DOCUM PT PREG DUR MEAS PER PRIOR TO and INCL CUR ENC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM RSN NOT RX ACE INHIB/ARB THER DUR MSMT PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1202","description":"DOCUM RSN NOT RX ACE INHIB/ARB THER DUR MSMT PER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUM STATING PT REC/OR CURR REC PALLIAT/HOSPICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9996","description":"DOCUM STATING PT REC/OR CURR REC PALLIAT/HOSPICE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MEDICAL REASON NOT USNG MULTIMODAL PAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2149","description":"DOCUMENT MEDICAL REASON NOT USNG MULTIMODAL PAIN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT PT RSN NOT RX/ADMN AD TX COM EBRT PROS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9896","description":"DOCUMENT PT RSN NOT RX/ADMN AD TX COM EBRT PROS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CAREGIV IS TRN and CERT IN DEM CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2185","description":"DOCUMENTATION CAREGIV IS TRN and CERT IN DEM CARE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MEDICAL REASON FOR NOT ON A STATIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9940","description":"DOCUMENTATION MEDICAL REASON FOR NOT ON A STATIN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MEDICAL REASON NOT RECV COMB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9957","description":"DOCUMENTATION MEDICAL REASON NOT RECV COMB TX","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 UNABLE TO COM and INF NOT AVAIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2183","description":"DOCUMENTATION PT UNABLE TO COM and INF NOT AVAIL","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOLASETRON MESYLATE 100 MG ORL NOT GT 48 HR DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0180","description":"DOLASETRON MESYLATE 100 MG ORL NOT GT 48 HR DOSE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":58.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.18,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING METHYLENEDIOXYAMPHETAMINES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80359","description":"DRUG SCREENING METHYLENEDIOXYAMPHETAMINES","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.08,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DT VACCINE YOUNGER THAN 7 YRS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90702","description":"DT VACCINE YOUNGER THAN 7 YRS FOR IM USE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":61.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DTAP-HEPB-IPV VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90723","description":"DTAP-HEPB-IPV VACCINE INTRAMUSCULAR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":108.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":77.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90696","description":"DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":50.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":63.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90697","description":"DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":153.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":163.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.94,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":127.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":97.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.62,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DZ MANAGEMENT PROGRAM FOLLOW-UP/REASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0316","description":"DZ MANAGEMENT PROGRAM FOLLOW-UP/REASSESSMENT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":14.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.09,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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 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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":58.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.2,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":58.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.2,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":122.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":209.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":58.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.01,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRODIAG STUDIES DSP DOCD RVWD W/IN 6 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3751F","description":"ELECTRODIAG STUDIES DSP DOCD RVWD W/IN 6 MONTHS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRODIAG STUDIES DSP NOT DOCD RVWD W/IN 6 MON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3752F","description":"ELECTRODIAG STUDIES DSP NOT DOCD RVWD W/IN 6 MON","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROPHYSIOLOGY CARDIAC SPEC MIPS SPECIALT SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4002","description":"ELECTROPHYSIOLOGY CARDIAC SPEC MIPS SPECIALT SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMB EPT NOT DOC SEP EMB VESS/OA AG/EMB NOT PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9963","description":"EMB EPT NOT DOC SEP EMB VESS/OA AG/EMB NOT PERF","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBO EPT DOC SEP EA EMBO VESSEL and OA ANGIO/EMBO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9962","description":"EMBO EPT DOC SEP EA EMBO VESSEL and OA ANGIO/EMBO","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4003","description":"EMERGENCY MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENT CASES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1142","description":"EMERGENT CASES","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOCRINOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4004","description":"ENDOCRINOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":112.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":16.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":67.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.66,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":17.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENVIRONMENTAL IVNTJ MED MGMT PURPOSES PSYC PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90882","description":"ENVIRONMENTAL IVNTJ MED MGMT PURPOSES PSYC PT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":19.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2CHMB PACG CVDFB LDS TSTG OF PULSE GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93641","description":"EP EVAL 1/2CHMB PACG CVDFB LDS TSTG OF PULSE GEN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":192.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":199.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":461.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":461.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2CHMBR PACG CVDFB LEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93640","description":"EP EVAL 1/2CHMBR PACG CVDFB LEADS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":114.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":192.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":351.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP PT HAD COMPETING DX W/IN 3 DAYS AFTER EP DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2097","description":"EP PT HAD COMPETING DX W/IN 3 DAYS AFTER EP DATE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":24.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIKERATOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65767","description":"EPIKERATOPLASTY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":873.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":873.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.97,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIS PT COMRBD CND DUR 12 M PRIOR TO/ON EPIS DT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2175","description":"EPIS PT COMRBD CND DUR 12 M PRIOR TO/ON EPIS DT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93616","description":"ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":38.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":71.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.29,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"J7295","description":"ETHINYL ESTRAD and ETONOG 0.015 0.12MG/24H M VAG RNG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":152.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.03,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"J7307","description":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL AND SPL","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1334.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1334.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1334.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1401.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1401.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1401.26,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCELLAGEN 0.1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4149","description":"EXCELLAGEN 0.1 CC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":142.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4005","description":"FAMILY MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FDA APVD ANTICOAGULANT NOT PRESCR REASON NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9928","description":"FDA APVD ANTICOAGULANT NOT PRESCR REASON NOT GVN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":26.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.14,"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":"2022","billing_code":"92340","description":"FITTING SPECTACLES XCPT APHAKIA MONOFOCAL","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":22.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.78,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":27.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9983","description":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2755.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2755.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2755.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3445.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":3445.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3445.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLORTAUCIPIR F18 INJECTION DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9601","description":"FLORTAUCIPIR F18 INJECTION DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3444.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":3444.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3444.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUID FLOW OR FLUID GF 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4206","description":"FLUID FLOW OR FLUID GF 1 CC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2361.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2361.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2361.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORODOPA F-18 DIAGNOSTIC PER MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9602","description":"FLUORODOPA F-18 DIAGNOSTIC PER MCI","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":490.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.88,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTWEAR EVALUATION WAS NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8415","description":"FOOTWEAR EVALUATION WAS NOT PERFORMED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"86930","description":"FROZEN BLOOD EACH UNIT FREEZING","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":19.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ST ODI 1YR PO GT or equal to 22 ODI 3 MN PREO 1YR PO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2143","description":"FUNC ST ODI 1YR PO GT or equal to 22 ODI 3 MN PREO 1YR PO","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ST ODI 1YR PO LT or equal to 22 ODI 3 MN PREO 1YR PO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2142","description":"FUNC ST ODI 1YR PO LT or equal to 22 ODI 3 MN PREO 1YR PO","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ST ODI 3MO PO GT or equal to 22 ODI 3 MN PREO 1YR PO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2145","description":"FUNC ST ODI 3MO PO GT or equal to 22 ODI 3 MN PREO 1YR PO","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ST ODI 3MO PO LT or equal to 22 ODI 3 MN PREO 1YR PO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2144","description":"FUNC ST ODI 3MO PO LT or equal to 22 ODI 3 MN PREO 1YR PO","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC STATUS NOT MEASURED ODI AT 3 MONTHS POSTOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1049","description":"FUNC STATUS NOT MEASURED ODI AT 3 MONTHS POSTOP","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC STATUS NOT MSR OKS/ KOOS JR 1 YR POST OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1141","description":"FUNC STATUS NOT MSR OKS/ KOOS JR 1 YR POST OP","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC STATUS PERFORMED ONCE IN THE LAST 12 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9916","description":"FUNC STATUS PERFORMED ONCE IN THE LAST 12 MONTHS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS MEASR OKS AT 1 YEAR POSTOP LT 37","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1046","description":"FUNCTIONAL STATUS MEASR OKS AT 1 YEAR POSTOP LT 37","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS NOT MSR ODI AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1043","description":"FUNCTIONAL STATUS NOT MSR ODI AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL STATUS NOT PERFORMED REASON NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9918","description":"FUNCTIONAL STATUS NOT PERFORMED REASON NOS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONL STATUS MSR OKS AT 1 YEAR POSTOP GT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1045","description":"FUNCTIONL STATUS MSR OKS AT 1 YEAR POSTOP GT or equal to","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 GOZETOTIDE DIAG ILLUCCIX 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9596","description":"GALLIUM GA-68 GOZETOTIDE DIAG ILLUCCIX 1 MCI","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1016.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1016.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1016.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1067.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1067.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1067.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 GOZETOTIDE DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9800","description":"GALLIUM GA-68 GOZETOTIDE DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4427.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":4427.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4427.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":602.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":602.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV PX W/O BYP VERTICAL-BANDED GSTP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43842","description":"GASTRIC RSTCV PX W/O BYP VERTICAL-BANDED GSTP","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":685.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":685.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":685.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":770.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":770.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":84.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROENTEROLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4006","description":"GASTROENTEROLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4007","description":"GENERAL SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC COUNSELING PHYS SUPERVISION EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0265","description":"GENETIC COUNSELING PHYS SUPERVISION EA 15 MINS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":67.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":78.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.93,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GERIATRICS MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4008","description":"GERIATRICS MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVECTOMY EXC GINGIVA EACH QUADRANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41820","description":"GINGIVECTOMY EXC GINGIVA EACH QUADRANT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":113.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADE2 OR ABV DIARRHEA Plus /OR GRADE2 OR ABV COLITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1181","description":"GRADE2 OR ABV DIARRHEA Plus /OR GRADE2 OR ABV COLITIS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":902.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":902.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRANISETRON HCL 1 MG ORL NOT GT 48 HR DOSE REGIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0166","description":"GRANISETRON HCL 1 MG ORL NOT GT 48 HR DOSE REGIMEN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":48.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.41,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GT 2 ORDER HIGH RISK MEDS SAME DRG CLS NOT ORDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1210","description":"GT 2 ORDER HIGH RISK MEDS SAME DRG CLS NOT ORDER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GT 2 ORDER HIGH RISK MEDS SAME DRG CLS W/O APP DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1209","description":"GT 2 ORDER HIGH RISK MEDS SAME DRG CLS W/O APP DX","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GT or equal to 50 PCT OF TOT NUMBER OF A PT O/P RA ENC A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1007","description":"GT or equal to 50 PCT OF TOT NUMBER OF A PT O/P RA ENC A","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STS ASSESS AND RSLT INTERP PRIOR ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9912","description":"HBV STS ASSESS AND RSLT INTERP PRIOR ANTI-TNF TX","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT SPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9913","description":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT SPC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"90633","description":"HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":32.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":39.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.23,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":130.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":139.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.09,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90743","description":"HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":64.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.86,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":30.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.85,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":10.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":13.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIB-HEPB VACCINE FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90748","description":"HIB-HEPB VACCINE FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":42.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIB-MENCY VACC 4 DOSE SCHED 6 WKS-18 MONTHS IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90644","description":"HIB-MENCY VACC 4 DOSE SCHED 6 WKS-18 MONTHS IM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":23.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.6,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8465","description":"HIGH/VERY HIGH RISK RECURRENCE PROSTATE CANCER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MGMT GESTATIONAL HYPERTENSION; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9211","description":"HOME MGMT GESTATIONAL HYPERTENSION; PER DIEM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":5.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME THERAPY; PERITONEAL DIALYSIS PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9339","description":"HOME THERAPY; PERITONEAL DIALYSIS PER DIEM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":51.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEWBORN CARE AND ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99502","description":"HOME VISIT NEWBORN CARE AND ASSESSMENT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":39.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SERVICES PROV PT ANY TIME DURING PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1191","description":"HOSPICE SERVICES PROV PT ANY TIME DURING PERIOD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SVC FOR PT PROV ANY TIME DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1067","description":"HOSPICE SVC FOR PT PROV ANY TIME DUR MSR PERIOD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SVCS PROV PT ANY TIME DURING MSMT PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1159","description":"HOSPICE SVCS PROV PT ANY TIME DURING MSMT PERIOD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITALISTS MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4009","description":"HOSPITALISTS MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":18.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.13,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":6.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE SYNOJOYNT IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7331","description":"HYALURONAN/DERIVATIVE SYNOJOYNT IA INJ 1 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":3.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.23,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":10.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":10.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","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":"2022","billing_code":"J7329","description":"HYALURONAN/DERIVATIVE TRIVISC FOR IA INJ 1 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":3.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":3.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","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":"2022","billing_code":"J7320","description":"HYALURONAN/DERIVITIVE GENVISC 850 IA INJ 1 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":4.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","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":"2022","billing_code":"2018F","description":"HYDRATION STATUS ASSESSED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":212.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":230.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.94,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":45.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.23,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":45.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.23,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":113.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":396.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":396.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":509.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.95,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":84.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV3 VACC PRESRV FREE 0.25 ML DOSAGE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90655","description":"IIV3 VACC PRESRV FREE 0.25 ML DOSAGE IM USE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":17.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.15,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.52,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":19.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.05,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":19.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.29,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":18.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.68,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":9.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.01,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":18.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.02,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1029","description":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING OF THE HEAD WAS OBTAINED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1027","description":"IMAGING OF THE HEAD WAS OBTAINED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT EMGNT BONE CNDJ DEV TEMPORAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69710","description":"IMPLTJ/RPLCMT EMGNT BONE CNDJ DEV TEMPORAL BONE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":796.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":796.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPROV CARE LW EXTREM JOINT REPAIR MIPS VAL PTHW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0058","description":"IMPROV CARE LW EXTREM JOINT REPAIR MIPS VAL PTHW","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPROV VISUAL FUNCT ACHV W/I 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0913","description":"IMPROV VISUAL FUNCT ACHV W/I 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPROV VISUAL FUNCT NOT ACHV 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0915","description":"IMPROV VISUAL FUNCT NOT ACHV 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN HOSPICE OR HOSPICE SVC DURING THE MSMT PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1167","description":"IN HOSPICE OR HOSPICE SVC DURING THE MSMT PERIOD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS DISEASE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4010","description":"INFECTIOUS DISEASE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"Q2035","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS and GT IM AFLURIA","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":20.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACC SPLIT VIRUS 3 YRS and GT IM FLULAVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2036","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS and GT IM FLULAVAL","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":7.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACC SPLIT VIRUS 3 YRS and GT IM FLUVIRIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2037","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS and GT IM FLUVIRIN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":15.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACC SPLIT VIRUS 3 YRS and GT IM FLUZONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2038","description":"INFLUENZA VACC SPLIT VIRUS 3 YRS and GT IM FLUZONE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":19.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.05,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":10.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.68,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":312.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":312.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":65.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.5,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":15.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.07,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NRS VRS OR ITCHYQUANT ASMT SCORE GT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1204","description":"INITIAL NRS VRS OR ITCHYQUANT ASMT SCORE GT or equal to","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NRS/VRS OR ITCHYQUANT ASSESSM SCORE GT or equal t","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1196","description":"INITIAL NRS/VRS OR ITCHYQUANT ASSESSM SCORE GT or equal t","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"99381","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT LT 1YEAR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":53.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.72,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":79.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.37,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":108.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":118.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":89.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.61,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]}]}]},{"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.42,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.07,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":71.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":96.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.97,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":68.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.8,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":94.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.22,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":60.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.9,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":86.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.32,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIATED EPI REHAB TH MED/CHIRO CARE NCK IMPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1143","description":"INITIATED EPI REHAB TH MED/CHIRO CARE NCK IMPAIR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ AVSX-101-XIOI P-TX TO 5X10^15 VCTR GNOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3399","description":"INJ AVSX-101-XIOI P-TX TO 5X10^15 VCTR GNOMS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2587120.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2587120.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2587120.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CALCM GLYCEROPHOSPHATE AND CALCM LACTAT-10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0620","description":"INJ CALCM GLYCEROPHOSPHATE AND CALCM LACTAT-10 ML","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ COAGULATION FACTOR XA INACTIVATED-ZHZO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7169","description":"INJ COAGULATION FACTOR XA INACTIVATED-ZHZO 10 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":123.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DELANDISTROGENE MOXEPARVOVEC-ROKL PER THR D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1413","description":"INJ DELANDISTROGENE MOXEPARVOVEC-ROKL PER THR D","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3200490.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":3200490.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3200490.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3444000.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":3444000.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3444000.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.61,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":49.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.2,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":69.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":70.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.23,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":305.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.76,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":146.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.62,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":22.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.3,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1326.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1326.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1326.61,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5963.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":5963.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5963.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6499.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":6499.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6499.71,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":214.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.5,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":6.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.78,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1054.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1054.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.27,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":180.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.33,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.29,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":33.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":36.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.77,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":73.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.31,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":11.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":12.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.38,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":7.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.15,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":161.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.6,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":9.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.64,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5162.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":5162.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5162.16,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":115.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":117.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIMETIDINE HYDROCHLORIDE 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0023","description":"INJECTION CIMETIDINE HYDROCHLORIDE 300 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.35,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.4,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":86.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.16,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENOSUMAB-KYQQ BIOSIMILAR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5161","description":"INJECTION DENOSUMAB-KYQQ BIOSIMILAR 1 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":26.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.75,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.13,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":52.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.63,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":7.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.27,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":7.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":7.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EMAPALUMAB-LZSG 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9210","description":"INJECTION EMAPALUMAB-LZSG 1 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":384.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":384.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.14,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":31.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.21,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1003.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1003.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1053.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1053.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.55,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":4.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":4.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.26,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":161.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.6,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":529.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":529.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.89,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.43,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":8.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FREMANEZUMAB-VFRM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3031","description":"INJECTION FREMANEZUMAB-VFRM 1 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":3.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":3.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.47,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":241.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.23,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":25.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLODIRSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1429","description":"INJECTION GOLODIRSEN 10 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":161.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.6,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":67.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":72.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.94,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":32.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":33.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.01,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":19.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.89,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":15.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.16,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":3.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON ALFA-N3 250,000 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9215","description":"INJECTION INTERFERON ALFA-N3 250,000 IU","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":29.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 1 MCG SUBQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q3028","description":"INJECTION INTERFERON BETA-1A 1 MCG SUBQ USE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":40.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":42.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.59,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":699.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":699.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":733.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":733.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.73,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8324.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":8324.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8324.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8648.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":8648.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8648.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRONBASED MR CONTRAST AGENT PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9953","description":"INJECTION IRONBASED MR CONTRAST AGENT PER ML","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":62.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ISAVUCONAZONIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1833","description":"INJECTION ISAVUCONAZONIUM 1 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ITRACONAZOLE 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1835","description":"INJECTION ITRACONAZOLE 50 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":42.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.56,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":86.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":87.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.19,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":304.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MENOTROPINS 75 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0122","description":"INJECTION MENOTROPINS 75 IU","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":248.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":258.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.36,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.12,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":39.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.36,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.53,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":654.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":655.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":655.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOXETUMOMAB PASUDOTOX-TDFK 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9313","description":"INJECTION MOXETUMOMAB PASUDOTOX-TDFK 0.01 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":22.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.29,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1223.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1223.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1223.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1269.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1269.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1269.07,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":971.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":971.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.86,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":49.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.61,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":287.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.11,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.98,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":36.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.9,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":553.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":553.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":573.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.19,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":147.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":158.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","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":"2022","billing_code":"Q5130","description":"INJECTION PEG-PBBK FYLNETRA BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":109.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":127.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.23,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":10.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.64,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":11.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.22,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":22.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERAMIVIR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2547","description":"INJECTION PERAMIVIR 1 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PORFIMER SODIUM 75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9600","description":"INJECTION PORFIMER SODIUM 75 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22949.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":22949.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22949.83,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":85.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.31,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":9.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.59,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2972.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2972.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2972.7,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":28.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.52,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":502.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":502.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.33,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":89.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":94.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.37,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":152.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":153.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.35,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":37.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":80.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.92,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":18.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":19.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TAGRAXOFUSP-ERZS 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9269","description":"INJECTION TAGRAXOFUSP-ERZS 10 MCG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":341.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":341.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.96,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":3.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.45,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.93,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":3.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VILTOLARSEN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1427","description":"INJECTION VILTOLARSEN 10 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":56.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.96,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3049.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":3049.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3049.1,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":16.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":33.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.66,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":36.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":72.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.09,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"99177","description":"INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":3.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":4.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.01,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.43,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.35,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2321.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2321.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2321.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERNAL MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4011","description":"INTERNAL MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERVENTIONAL RADIOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4012","description":"INTERVENTIONAL RADIOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 EPICAR AND ENDOCAR PACG AND MAPG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93631","description":"INTRAOP EPICAR AND ENDOCAR PACG AND MAPG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":255.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":255.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":493.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.97,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1251.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1251.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1251.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1304.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1304.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1304.18,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9516","description":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":122.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9554","description":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":425.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.0,"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":"2022","billing_code":"95941","description":"IONM REMOTE/NEARBY OR GT 1 PATIENT IN OR PER HOUR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":17.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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/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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":136.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":153.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.09,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":73.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":87.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.52,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":101.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":127.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.13,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":52.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":56.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.9,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ITCH SEV ASMT SC NOT RED GT 3PT INT FU V SC NOT ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1206","description":"ITCH SEV ASMT SC NOT RED GT 3PT INT FU V SC NOT ENC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ITCH SEV ASMT SCR RED 3/M INITL ASMT SC F/U V SC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1205","description":"ITCH SEV ASMT SCR RED 3/M INITL ASMT SC F/U V SC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ITCH SEV NOT RED AL 3 PTS INIT F/U V NOT CMP F/U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1198","description":"ITCH SEV NOT RED AL 3 PTS INIT F/U V NOT CMP F/U","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ITCH SEV RED 3/M PTS INIT ASMNT SCORE F/U VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1197","description":"ITCH SEV RED 3/M PTS INIT ASMNT SCORE F/U VISIT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERAMATRIX OR KERASORB PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4165","description":"KERAMATRIX OR KERASORB PER SQ CM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOPHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65765","description":"KERATOPHAKIA","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":873.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":873.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.97,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CHD IMG CATH TRGT ZON NML/ABNL NT CNJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93595","description":"L HRT CATH CHD IMG CATH TRGT ZON NML/ABNL NT CNJ","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":171.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":272.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAIV VACCINE PANDEMIC FORMULA FOR INTRANASAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90664","description":"LAIV VACCINE PANDEMIC FORMULA FOR INTRANASAL USE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":18.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.68,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":25.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.65,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":23.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM/DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8396","description":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM/DOC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN MSR VAS 1 YR PO GT 3.0 IMPROVEMNT LT 5 PTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2147","description":"LEG PAIN MSR VAS 1 YR PO GT 3.0 IMPROVEMNT LT 5 PTS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN MSR VAS 1 YR PO GT or equal to 3.0 IMPRV 5 PNT O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2146","description":"LEG PAIN MSR VAS 1 YR PO GT or equal to 3.0 IMPRV 5 PNT O","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN MSR VAS 3 MO PO LT or equal to 3.0 IMPV LT 5.0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2140","description":"LEG PAIN MSR VAS 3 MO PO LT or equal to 3.0 IMPV LT 5.0","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN MSR VAS 3 MONTHS PO GT 3.0 IMPROV LT 5 PNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2141","description":"LEG PAIN MSR VAS 3 MONTHS PO GT 3.0 IMPROV LT 5 PNTS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN NOT MEAS BY THE VAS/NPS AT 3 MO POSTOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9949","description":"LEG PAIN NOT MEAS BY THE VAS/NPS AT 3 MO POSTOP","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN WAS NOT MSR VAS OR NPS AT 1 YEAR POSTOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1052","description":"LEG PAIN WAS NOT MSR VAS OR NPS AT 1 YEAR POSTOP","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 III SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88304","description":"LEVEL III SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":22.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":30.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":8.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.16,"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":"2022","billing_code":"J7296","description":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1334.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1334.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1334.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1398.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1398.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1398.06,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1111.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1111.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1111.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1164.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1164.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1164.12,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1023.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1023.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1023.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1074.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1074.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1074.9,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1334.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1334.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1334.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1398.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1398.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1398.06,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":"2022","billing_code":"A9607","description":"LUTETIUM LU 177 VIPIVOTIDE TETRAXETAN THER 1 MCI","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":250.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":258.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF GT or equal to 40 PCT OR DOC NORMAL/MILD DEPRESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8395","description":"LVEF GT or equal to 40 PCT OR DOC NORMAL/MILD DEPRESSED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL THERAPY TQS 1 OR GT REGIONS EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97140","description":"MANUAL THERAPY TQS 1 OR GT REGIONS EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":284.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.05,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":93.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":96.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.05,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"J8600","description":"MELPHALAN ORAL 2 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.01,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":173.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.76,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":233.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":247.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.16,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":203.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":222.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.17,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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/BEHAVIORAL AND PSYCHIATRY MIPS SPLTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4013","description":"MENTAL/BEHAVIORAL AND PSYCHIATRY MIPS SPLTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":423.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.12,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT BP SYST GT or equal to 140 MM HG and / DIAS G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8477","description":"MOST RECENT BP SYST GT or equal to 140 MM HG and / DIAS G","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":104.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.66,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SPECTROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76390","description":"MRI SPECTROSCOPY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":264.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":264.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":318.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":53.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRS DISCOGENIC PAIN ACQUISJ SINGLE VOXEL DATA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0609T","description":"MRS DISCOGENIC PAIN ACQUISJ SINGLE VOXEL DATA","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRS DISCOGENIC PAIN ALGORTHMIC ALYS BMRK DATA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0611T","description":"MRS DISCOGENIC PAIN ALGORTHMIC ALYS BMRK DATA","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRS DISCOGENIC PAIN INTERPRETATION AND REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0612T","description":"MRS DISCOGENIC PAIN INTERPRETATION AND REPORT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRS DISCOGENIC PAIN TRANSMIS BMRK DATA SW ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0610T","description":"MRS DISCOGENIC PAIN TRANSMIS BMRK DATA SW ALYS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIDISCIPLINARY CARE PLAN DEVELOPED/UPDATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0580F","description":"MULTIDISCIPLINARY CARE PLAN DEVELOPED/UPDATED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NOT USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2150","description":"MULTIMODAL PAIN MANAGEMENT WAS NOT USED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1180.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1180.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1180.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC DCMPRN SPINAL CORD 1 W/LAMOT NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62380","description":"NDSC DCMPRN SPINAL CORD 1 W/LAMOT NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":376.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.88,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEONATOLOGIST AMBULAN TRANS 1 2 HR INCRE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"X0025","description":"NEONATOLOGIST AMBULAN TRANS 1 2 HR INCRE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":19.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.4,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":31.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4014","description":"NEPHROLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01967","description":"NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":494.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":494.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4015","description":"NEUROLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROSURGICAL MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4016","description":"NEUROSURGICAL MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3757F","description":"NO PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO RECORD OF HBV RESULTS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9915","description":"NO RECORD OF HBV RESULTS DOCUMENTED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 INITIAL EVALUATION FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1501F","description":"NOT INITIAL EVALUATION FOR CONDITION","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUM ADULT M DEN HD PRC LST HD RPT M CATH CNT LT 3M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G1027","description":"NUM ADULT M DEN HD PRC LST HD RPT M CATH CNT LT 3M","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUM ADULT MO DEN HD CATH 3 LT MO PRAC LST HD SESS M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G1026","description":"NUM ADULT MO DEN HD CATH 3 LT MO PRAC LST HD SESS M","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING ASSESSMENT/EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1001","description":"NURSING ASSESSMENT/EVALUATION","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":176.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITION/DIETICIAN MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4017","description":"NUTRITION/DIETICIAN MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITIONAL SUPPORT OFFERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4551F","description":"NUTRITIONAL SUPPORT OFFERED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O/P ED/OBS VISITS RSLT IN INPATIENT ADMISSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2176","description":"O/P ED/OBS VISITS RSLT IN INPATIENT ADMISSION","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSTETRICS/GYNECOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4018","description":"OBSTETRICS/GYNECOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":132.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.77,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":144.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":154.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":168.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.36,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":64.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.83,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":72.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.76,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":82.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":91.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.99,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":116.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.92,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":117.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":137.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":98.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.64,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]}]}]},{"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":40.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.94,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":51.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.99,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":54.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":67.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99211","description":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":231.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.348,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":77.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":77.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":77.116,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":154.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":154.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":154.232,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":77.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":77.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":77.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99205","description":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":271.4291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":271.4291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":271.4291,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":154.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":154.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":154.232,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":194.3131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":194.3131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":194.3131,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":77.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":77.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":77.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMEZA COLL MATRIX/OMEZA COMPLT MATRIX PER 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2014","description":"OMEZA COLL MATRIX/OMEZA COMPLT MATRIX PER 100 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":126.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":78.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.79,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY/HEMATOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4019","description":"ONCOLOGY/HEMATOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1109","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1114","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1119","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1124","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1129","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1133","description":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONG CRE NOT MED PSS PT D/C E D/T MED EVT DOC MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1147","description":"ONG CRE NOT MED PSS PT D/C E D/T MED EVT DOC MR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CARE NOT POSS PT D/C 1-2 VST D/T SPC MD EVT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1134","description":"ONGO CARE NOT POSS PT D/C 1-2 VST D/T SPC MD EVT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CLIN INDC PT ND HOM PROG DOC MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1146","description":"ONGOING CARE NOT CLIN INDC PT ND HOM PROG DOC MR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CLINC INDICAT PT ND HM PRG ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1113","description":"ONGOING CARE NOT CLINC INDICAT PT ND HM PRG ONLY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CLN INDICAT PT ND HOME PRG ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1108","description":"ONGOING CARE NOT CLN INDICAT PT ND HOME PRG ONLY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NEED REF OTH PROV FACILT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1128","description":"ONGOING CARE NOT IND PT NEED REF OTH PROV FACILT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 INDICATED PT ND HM PRG ONLY REF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1123","description":"ONGOING CARE NOT INDICATED PT ND HM PRG ONLY REF","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 INDICATED PT ND HOME PROG ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1118","description":"ONGOING CARE NOT INDICATED PT ND HOME PROG ONLY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 INDICATED PT NEED REF OTHR PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1132","description":"ONGOING CARE NOT INDICATED PT NEED REF OTHR PROV","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 POSSIBL PT SELF DISCHARGE EARLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1125","description":"ONGOING CARE NOT POSSIBL PT SELF DISCHARGE EARLY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SELF DISCHARG EARLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1115","description":"ONGOING CARE NOT POSSIBLE PT SELF DISCHARG EARLY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMOLOGY/OPTOMETRY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4020","description":"OPHTHALMOLOGY/OPTOMETRY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPRCULECTOMY EXC PRICORONAL TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41821","description":"OPRCULECTOMY EXC PRICORONAL TISSUE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":108.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIMAL CARE KIDNEY HEALTH MIPS VALUE PATHWAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0002","description":"OPTIMAL CARE KIDNEY HEALTH MIPS VALUE PATHWAYS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIONS NONINVASIVE RESP SUPPORT DISCUSSED W/PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4550F","description":"OPTIONS NONINVASIVE RESP SUPPORT DISCUSSED W/PT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"27217","description":"OPTX ANT PELVIC BONE FX and /DISLC INT FIXJ IF PFR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":131.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":430.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":562.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.06,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":310.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":404.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":94.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.41,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":180.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":591.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":591.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":771.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":771.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.81,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":10.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.31,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4021","description":"ORTHOPEDIC SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT HUM INSJ XTRNL CTRLD IMED LNGTH DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0594T","description":"OSTEOT HUM INSJ XTRNL CTRLD IMED LNGTH DEVICE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTOLARYNGOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4022","description":"OTOLARYNGOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1313.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1313.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1313.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALLIATIVE CARE SRV GVN PT ANY TIME DUR MEAS PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0031","description":"PALLIATIVE CARE SRV GVN PT ANY TIME DUR MEAS PER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SVC PROV PT TIME DURING MEAS PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9988","description":"PALLIATIVE CARE SVC PROV PT TIME DURING MEAS PER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SVC USD PT ANY TIME DUR MEAS PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9992","description":"PALLIATIVE CARE SVC USD PT ANY TIME DUR MEAS PER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PASRR LEVL I IDENTIFICATION SCREEN PER SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2010","description":"PASRR LEVL I IDENTIFICATION SCREEN PER SCREEN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":72.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.75,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 TISS SPEC PROD WIDE LOCAL EXC OR RE-EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1166","description":"PATH RPT TISS SPEC PROD WIDE LOCAL EXC OR RE-EXC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGISTS/DERMATOPATH SAME CLINICIAN PRFRM BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9939","description":"PATHOLOGISTS/DERMATOPATH SAME CLINICIAN PRFRM BX","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4023","description":"PATHOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT AND/OR CARE PARTNER DECLINE REFERRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0041","description":"PATIENT AND/OR CARE PARTNER DECLINE REFERRAL","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0914","description":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0917","description":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DID NOT RECEIVE COMBINATION THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9958","description":"PATIENT DID NOT RECEIVE COMBINATION THERAPY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 ADJUVANT TREATMENT COURSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2208","description":"PATIENT DID NOT RECV ADJUVANT TREATMENT COURSE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 BRF CSEL IF ID UH ALCO USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2202","description":"PATIENT DID NOT RECV BRF CSEL IF ID UH ALCO USER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1060","description":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOES NOT HAVE A CAREGIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2184","description":"PATIENT DOES NOT HAVE A CAREGIVER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOES NOT HAVE A CORONARY ARTERY STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4562F","description":"PATIENT DOES NOT HAVE A CORONARY ARTERY STENT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOES NOT HAVE RESPIRATORY INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1505F","description":"PATIENT DOES NOT HAVE RESPIRATORY INSUFFICIENCY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DX OF OSTEOPOROSIS ON DATE OF ENCOUNTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1153","description":"PATIENT DX OF OSTEOPOROSIS ON DATE OF ENCOUNTER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD ONLY UC VISITS DUR THE PERF PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1021","description":"PATIENT HAD ONLY UC VISITS DUR THE PERF PRD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD ONLY URGENT CARE VISITS DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1054","description":"PATIENT HAD ONLY URGENT CARE VISITS DUR PERF PER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 A CORONARY ARTERY STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4561F","description":"PATIENT HAS A CORONARY ARTERY STENT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 RESPIRATORY INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1504F","description":"PATIENT HAS RESPIRATORY INSUFFICIENCY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HSPC/REC PALLIAT C ANY TIME DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1059","description":"PATIENT HSPC/REC PALLIAT C ANY TIME DUR PERF PER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT INITIATED AN ANTI-TNF AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9914","description":"PATIENT INITIATED AN ANTI-TNF AGENT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 DYSARTHRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3762F","description":"PATIENT IS DYSARTHRIC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 DYSARTHRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3763F","description":"PATIENT IS NOT DYSARTHRIC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT MONTH GT 1 MCP PROVIDER LISTED FOR MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G1025","description":"PATIENT MONTH GT 1 MCP PROVIDER LISTED FOR MONTH","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 REFERRED REASON NOT OTHERWISE SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0039","description":"PATIENT NOT REFERRED REASON NOT OTHERWISE SPEC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 SCR UH ALC USE USING A SYS SCR METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2199","description":"PATIENT NOT SCR UH ALC USE USING A SYS SCR METH","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCREENED FUT FALL RISK RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1070","description":"PATIENT NOT SCREENED FUT FALL RISK RSN NOT GVN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT OR CARE PARTNER DECLINE ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0036","description":"PATIENT OR CARE PARTNER DECLINE ASSESSMENT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1058","description":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 PALLIATIVE CARE DUR MEASUR PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0034","description":"PATIENT RECEIVING PALLIATIVE CARE DUR MEASUR PER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":"G2209","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 UH ALC USE NOT ID AS AN UH ALC USR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2197","description":"PATIENT SCR UH ALC USE NOT ID AS AN UH ALC USR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT SCREENED FOR FUTURE FALL RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1069","description":"PATIENT SCREENED FOR FUTURE FALL RISK","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WITH DX CHRONIC KIDNEY DISEASE CKD STG 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1188","description":"PATIENT WITH DX CHRONIC KIDNEY DISEASE CKD STG 5","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WITH TRANSIENT OR REVERSIBLE CAUSE OF AF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9929","description":"PATIENT WITH TRANSIENT OR REVERSIBLE CAUSE OF AF","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CLIN IND IMAG HEAD: POSIT HEADACHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2191","description":"PATIENTS CLIN IND IMAG HEAD: POSIT HEADACHES","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CLINICAL IND IMAG HEAD: ABN NEURO EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2189","description":"PATIENTS CLINICAL IND IMAG HEAD: ABN NEURO EXAM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CLINICAL IND IMAG HEAD: HA RAD NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2190","description":"PATIENTS CLINICAL IND IMAG HEAD: HA RAD NECK","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CLINICAL IND IMAG HEAD: HEAD TRAUMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2187","description":"PATIENTS CLINICAL IND IMAG HEAD: HEAD TRAUMA","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ELIGIBLE DUE TO PRE-EXISTING IBD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1182","description":"PATIENTS NOT ELIGIBLE DUE TO PRE-EXISTING IBD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ON IMMUNE CHECKPOINT INHIBITOR THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1180","description":"PATIENTS ON IMMUNE CHECKPOINT INHIBITOR THERAPY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RECEIVING RRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1199","description":"PATIENTS RECEIVING RRT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO ARE RECEIVING COMFORT CARE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9930","description":"PATIENTS WHO ARE RECEIVING COMFORT CARE ONLY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HX HEART TRANSPLANT/WITH A LVAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1151","description":"PATIENTS WITH A HX HEART TRANSPLANT/WITH A LVAD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX LSP REG CANCER AT THE TIME PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1037","description":"PATIENTS WITH DX LSP REG CANCER AT THE TIME PROC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LSP REG FX AT TIME PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1038","description":"PATIENTS WITH DX OF LSP REG FX AT TIME PROCEDURE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LSP REG INF AT TIME OF PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1039","description":"PATIENTS WITH DX OF LSP REG INF AT TIME OF PROC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WITH DX OF LUMBAR IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1040","description":"PATIENTS WITH DX OF LUMBAR IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HX OF HEART TRANSPLANT/WITH A LVAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1152","description":"PATIENTS WITH HX OF HEART TRANSPLANT/WITH A LVAD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MECHANICAL PROSTHETIC HEART VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0043","description":"PATIENTS WITH MECHANICAL PROSTHETIC HEART VALVE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MODERATE OR SEVERE MITRAL STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0044","description":"PATIENTS WITH MODERATE OR SEVERE MITRAL STENOSIS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PREGNANCY DURING ADJUVANT TX CRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2205","description":"PATIENTS WITH PREGNANCY DURING ADJUVANT TX CRS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 W/MIN BLUNT HD TRAUMA and PECARN NOT ASSESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0047","description":"PED PT W/MIN BLUNT HD TRAUMA and PECARN NOT ASSESS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HOME APNEA MNTR DL and ANALYSES BY CPTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94776","description":"PEDIATRIC HOME APNEA MNTR DL and ANALYSES BY CPTR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":39.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.34,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":23.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":33.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.46,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRICS MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4024","description":"PEDIATRICS MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":59.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":84.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.51,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":67.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.63,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":92.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.22,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":69.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.79,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":94.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.4,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":68.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.3,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":90.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.45,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":59.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":84.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.25,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":71.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.78,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":97.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.2,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":54.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.43,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":79.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.29,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 IMPL CONTRACEPTIVE TUBAL OCCL DEV AND DEL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4264","description":"PERM IMPL CONTRACEPTIVE TUBAL OCCL DEV AND DEL SYS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1674.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1674.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1674.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22526","description":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LEVEL","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1115.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1115.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1254.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1254.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1254.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":139.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":193.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.89,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":218.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.13,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":24.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.24,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]}]}]},{"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":139.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":458.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":458.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":597.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":597.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT IMPLTJ INTRATRL SEPTAL SHUNT DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0613T","description":"PERQ TCAT IMPLTJ INTRATRL SEPTAL SHUNT DEVICE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"90863","description":"PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":14.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHEN 10.16 and KET 2.88 MG/ML OPHT IRR SOL 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1097","description":"PHEN 10.16 and KET 2.88 MG/ML OPHT IRR SOL 1 ML","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":116.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.11,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":43.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4025","description":"PHYSICAL MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THER/OCCUPAT THERAPY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4026","description":"PHYSICAL THER/OCCUPAT THERAPY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9595","description":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":605.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":605.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":623.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.37,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4027","description":"PLASTIC SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PODIATRY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4028","description":"PODIATRY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":46.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.92,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":115.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.21,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":176.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPARE FECAL MICROBIOTA FOR INSTILLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44705","description":"PREPARE FECAL MICROBIOTA FOR INSTILLATION","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":47.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.54,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":74.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.07,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"99401","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 15 MIN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":17.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.32,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":27.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.81,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":35.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.15,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":45.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.64,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":52.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.46,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":62.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":67.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99404","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 60 MIN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":70.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":75.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.65,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":80.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":85.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.91,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVENTIVE MEDICINE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4029","description":"PREVENTIVE MEDICINE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROC RELATED BP'S NOT TAKEN DURING AN OP VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2129","description":"PROC RELATED BP'S NOT TAKEN DURING AN OP VISIT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCARBAZINE HYDROCHLORIDE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0182","description":"PROCARBAZINE HYDROCHLORIDE ORAL 50 MG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":173.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.91,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":84.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.44,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":26.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.36,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":20.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.04,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":20.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.68,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROP ADOPT BST PRACT PROM SFTY EMER MED MIPS VAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0057","description":"PROP ADOPT BST PRACT PROM SFTY EMER MED MIPS VAL","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"J7168","description":"PRT COMPLEX CONC KCENTRA PER IU FIX ACT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.94,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1056","description":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 12-17 Y MD/DYSTH NO REM 12 M PHQ-9/9M NA/ GT or equal t","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1020","description":"PT 12-17 Y MD/DYSTH NO REM 12 M PHQ-9/9M NA/ GT or equal t","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 12-17 YR MD/DYSTH REM 12 MO SCORE LESS THAN 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1019","description":"PT 12-17 YR MD/DYSTH REM 12 MO SCORE LESS THAN 5","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 and GT INST SNP/RESID LTC GT 90 DAYS DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2081","description":"PT 66 and GT INST SNP/RESID LTC GT 90 DAYS DUR MSR PRD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT INST SNP/RESID LTC GT 90 DAYS DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9938","description":"PT 66 OR GT INST SNP/RESID LTC GT 90 DAYS DUR MSR PRD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9898","description":"PT 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DAYS MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9901","description":"PT 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DAYS MSR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 Y and GT 1 CLM FRAILTY and D MED DMNT MP/YR PRI M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2106","description":"PT 66 Y and GT 1 CLM FRAILTY and D MED DMNT MP/YR PRI M","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 Y and GT 1 CLM FRLTY and DIS MED DMNT MP/YR PRI M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2090","description":"PT 66 Y and GT 1 CLM FRLTY and DIS MED DMNT MP/YR PRI M","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 Y and GT 1 CLM FRLTY and DIS MED DMNT MP/YR PRI M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2098","description":"PT 66 Y and GT 1 CLM FRLTY and DIS MED DMNT MP/YR PRI M","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 Y and GT 1 CLM FRLTY and DIS MED DMNT MP/YR PRI M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2100","description":"PT 66 Y and GT 1 CLM FRLTY and DIS MED DMNT MP/YR PRI M","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 and GT YRS\\FRAILTY DUR MSMT PER and AN ADV ILL D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2091","description":"PT 66 and GT YRS\\FRAILTY DUR MSMT PER and AN ADV ILL D","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 and GT YRS\\FRAILTY DUR MSMT PER and AN ADV ILL D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2099","description":"PT 66 and GT YRS\\FRAILTY DUR MSMT PER and AN ADV ILL D","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 and GT YRS\\FRAILTY DUR MSMT PER and AN ADV ILL D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2101","description":"PT 66 and GT YRS\\FRAILTY DUR MSMT PER and AN ADV ILL D","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 and GT YRS\\FRAILTY DUR MSMT PER and AN ADV ILL D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2107","description":"PT 66 and GT YRS\\FRAILTY DUR MSMT PER and AN ADV ILL D","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66-80 Y CLM FRLTY and DISP MED DEMENT MP/YR MP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2115","description":"PT 66-80 Y CLM FRLTY and DISP MED DEMENT MP/YR MP","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66-80 YOA AL 1 CLM FR DUR MP and DISPENS RX DEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2127","description":"PT 66-80 YOA AL 1 CLM FR DUR MP and DISPENS RX DEM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66-80 YRS\\FRAILTY DUR MSMT PER and AN ADV ILL DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2116","description":"PT 66-80 YRS\\FRAILTY DUR MSMT PER and AN ADV ILL DX","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66-80 YRS\\FRAILTY DUR MSMT PER and AN ADV ILL DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2126","description":"PT 66-80 YRS\\FRAILTY DUR MSMT PER and AN ADV ILL DX","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 81 YOA and GT AL 1 CLM/ENC FRAILTY DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2118","description":"PT 81 YOA and GT AL 1 CLM/ENC FRAILTY DUR MSR PERIOD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 81 YOA and OLDR AL 1 CLM FRAILTY DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2125","description":"PT 81 YOA and OLDR AL 1 CLM FRAILTY DUR MSR PRD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT AGE 66 OR GT INST SNP/RESID LTC GT 90 D DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2105","description":"PT AGE 66 OR GT INST SNP/RESID LTC GT 90 D DUR MSR PRD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ANA DT HPV VAC ANY TIME ON/BFR PT 13TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1163","description":"PT ANA DT HPV VAC ANY TIME ON/BFR PT 13TH BD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ANA DT TD/PERT VAC ANY TM ON/BFR PT 13TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1161","description":"PT ANA DT TD/PERT VAC ANY TM ON/BFR PT 13TH BD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ANAPHYLAXIS DT MCV ANY TIME ON/BFR PT 13TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1160","description":"PT ANAPHYLAXIS DT MCV ANY TIME ON/BFR PT 13TH BD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT BTW 45 and 85 YO RECV SC DUR PERF PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2204","description":"PT BTW 45 and 85 YO RECV SC DUR PERF PD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA AC FX/INF REL LS/PT HD IDIO/CONG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1051","description":"PT CA AC FX/INF REL LS/PT HD IDIO/CONG SCOLIOSIS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CA AC FX/INF REL TO LSP/PT IDIO/CNG SCOLIOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1041","description":"PT CA AC FX/INF REL TO LSP/PT IDIO/CNG SCOLIOSIS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CANCER ACUT FX/INF REL LUMB SP/PT HAD IDIO/CS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9945","description":"PT CANCER ACUT FX/INF REL LUMB SP/PT HAD IDIO/CS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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/CHG HA ABV 50 YOA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2188","description":"PT CLIN IND IMAG HEAD: NEW/CHG HA ABV 50 YOA","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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: OCC HEADACHE CHILDREN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2195","description":"PT CLIN IND IMAG HEAD: OCC HEADACHE CHILDREN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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: TEMP HA PT OVR 55 YOA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2192","description":"PT CLIN IND IMAG HEAD: TEMP HA PT OVR 55 YOA","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 IMG HEAD: NEW ON HA PED PT W/DISAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2194","description":"PT CLIN IND IMG HEAD: NEW ON HA PED PT W/DISAB","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 REC INFLUENZ VC BTW 7/1 YR PRIOR 6/30","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1170","description":"PT DID NOT REC INFLUENZ VC BTW 7/1 YR PRIOR 6/30","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 REC LEAST 1TD OR 1TDAP BETW 9Y PR END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1173","description":"PT DID NOT REC LEAST 1TD OR 1TDAP BETW 9Y PR END","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 RECEIVE INHALATIONAL ANESTHETIC AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4555F","description":"PT DID NOT RECEIVE INHALATIONAL ANESTHETIC AGENT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DID NOT RECV AT LEAST 1 WCV PCP DUR PRFRM PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9965","description":"PT DID NOT RECV AT LEAST 1 WCV PCP DUR PRFRM PER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EAE DT TD/PERT VAC ANY TM ON/BFR PT 13TH BD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1162","description":"PT EAE DT TD/PERT VAC ANY TM ON/BFR PT 13TH BD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 ENC DURING PERF PER WITH POS INDICATOR 23","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0035","description":"PT ED ENC DURING PERF PER WITH POS INDICATOR 23","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 NOC NON-PHYSICIAN PPT ED NOC NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9445","description":"PT ED NOC NON-PHYSICIAN PPT ED NOC NON-PHYSICIAN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ED NOC NON-PHYSICIAN PROVIDER GROUP SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9446","description":"PT ED NOC NON-PHYSICIAN PROVIDER GROUP SESSION","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":6.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 CLINICAL SYMP and SIGNS NEUROPATHY W/CAUSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3753F","description":"PT HAS CLINICAL SYMP and SIGNS NEUROPATHY W/CAUSE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3756F","description":"PT HAS PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAVE ORD OR RECEIV HOSPICE OR PALLIATIVE CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1186","description":"PT HAVE ORD OR RECEIV HOSPICE OR PALLIATIVE CARE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 D HZ REC VACC ON 10/20/17 THRU MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1176","description":"PT NO 2 D HZ REC VACC ON 10/20/17 THRU MSR PRD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 EXHIBIT 3 Plus RISK FACTORS POST-OP NAUSEA/VOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4557F","description":"PT NO EXHIBIT 3 Plus RISK FACTORS POST-OP NAUSEA/VOM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 ASSESS NONVRB DELIR APHASIC DV VIS/HR IMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0037","description":"PT NOT ASSESS NONVRB DELIR APHASIC DV VIS/HR IMP","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 PNC/POLYSAC VAC ON/AFT 19 BD BEF/DURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1179","description":"PT NOT REC PNC/POLYSAC VAC ON/AFT 19 BD BEF/DURG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 FOOD/HOUS INST TRNSP UTL DIF INT SFTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1208","description":"PT NOT SCR FOOD/HOUS INST TRNSP UTL DIF INT SFTY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 TRANSFERRED FROM ANESTHETIZING TO CC UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0582F","description":"PT NOT TRANSFERRED FROM ANESTHETIZING TO CC UNIT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT OFFERED ASSISTANCE PLANNING END LIFE ISSUES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4553F","description":"PT OFFERED ASSISTANCE PLANNING END LIFE ISSUES","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT OFFERED REFERRAL SPEECH LANGUAGE PATHOLOGIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4552F","description":"PT OFFERED REFERRAL SPEECH LANGUAGE PATHOLOGIST","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PERITONEAL DIALYSIS ANY PORTION REPORT MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0052","description":"PT PERITONEAL DIALYSIS ANY PORTION REPORT MONTH","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PROVIDED PALLATIVE CARE SRV TIME DUR MEAS PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9993","description":"PT PROVIDED PALLATIVE CARE SRV TIME DUR MEAS PER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 SYMP RESPIRATORY INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1503F","description":"PT QUERIED RE SYMP RESPIRATORY INSUFFICIENCY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCEVD 2 PROPHYLACTIC RX AGENTS PRE AND INTRA-OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4558F","description":"PT RCEVD 2 PROPHYLACTIC RX AGENTS PRE AND INTRA-OP","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCVD AL 2 D HZ R VAC ON 10/20/17 THRU MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1174","description":"PT RCVD AL 2 D HZ R VAC ON 10/20/17 THRU MSR PRD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REC INFLUENZA VACCINE BTW 7/1YR PRIOR 6/30 MS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1168","description":"PT REC INFLUENZA VACCINE BTW 7/1YR PRIOR 6/30 MS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REC LST 1TD OR 1TDAP BETWN 9Y PRIOR ENC and END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1171","description":"PT REC LST 1TD OR 1TDAP BETWN 9Y PRIOR ENC and END","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REC PALLIAT CARE DUR INTK PER THR END MEAS YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0048","description":"PT REC PALLIAT CARE DUR INTK PER THR END MEAS YR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECEIVE PNC/POLYSAC VAC ON/AFT 19 BD BEF/DURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1177","description":"PT RECEIVE PNC/POLYSAC VAC ON/AFT 19 BD BEF/DURG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 ADJ TX COURSE CHEMO and HER2-TGT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2206","description":"PT RECEIVED ADJ TX COURSE CHEMO and HER2-TGT TX","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 GT 5 MG DA PRD GT 6 MO and IMP/NO CHNGE DZ ACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2113","description":"PT RECV GT 5 MG DA PRD GT 6 MO and IMP/NO CHNGE DZ ACT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 LT or equal to 5 MG DA PDN/RA ACT WORSE/GCC LT 6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2112","description":"PT RECV LT or equal to 5 MG DA PDN/RA ACT WORSE/GCC LT 6","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV AT LEAST 1 WCV W/PCP DUR PRFRM PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9964","description":"PT RECV AT LEAST 1 WCV W/PCP DUR PRFRM PERIOD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 FIRST-TIME BIOL and /IMMUNE RESPONSE MOD TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2182","description":"PT RECV FIRST-TIME BIOL and /IMMUNE RESPONSE MOD TX","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 PHYS/OCCUP/SPEECH/REC THER DUR MSMNT PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0040","description":"PT RECV PHYS/OCCUP/SPEECH/REC THER DUR MSMNT PER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECVD ASPIRIN W/IN 24 HRS PRIOR ANESTH START","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4563F","description":"PT RECVD ASPIRIN W/IN 24 HRS PRIOR ANESTH START","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRED ANOTHER CLINICIAN/SPEC DUR PRFRM PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9968","description":"PT REFERRED ANOTHER CLINICIAN/SPEC DUR PRFRM PER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SAFETY SUPPRT POS EXPERIEN ANES MIPS VAL PTHW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0059","description":"PT SAFETY SUPPRT POS EXPERIEN ANES MIPS VAL PTHW","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 DYSPHAGIA WT LOSS IMPAIRED NUTRITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3759F","description":"PT SCRND DYSPHAGIA WT LOSS IMPAIRED NUTRITION","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT TRANSFERRED FROM ANESTHETIZING TO CC UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0581F","description":"PT TRANSFERRED FROM ANESTHETIZING TO CC UNIT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 TO COMPL NECK FS PROM INIT EVAL and /D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1149","description":"PT UNABLE TO COMPL NECK FS PROM INIT EVAL and /D/C","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT UNDER HOSPICE CARE IN CURRENT REPORTING MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0051","description":"PT UNDER HOSPICE CARE IN CURRENT REPORTING MONTH","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT USE HOSPICE SRVC ANY TIME DUR THE MEASURE PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1165","description":"PT USE HOSPICE SRVC ANY TIME DUR THE MEASURE PER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT USE PALLIATIVE CARE SRV ANY TIME DUR MEAS PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9994","description":"PT USE PALLIATIVE CARE SRV ANY TIME DUR MEAS PER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W EXIST DX SQUAMOUS CELL CARCINOMA ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1192","description":"PT W EXIST DX SQUAMOUS CELL CARCINOMA ESOPHAGUS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W/DEMENTIA ANY TIME DUR PT HIST-END MSMNT PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1164","description":"PT W/DEMENTIA ANY TIME DUR PT HIST-END MSMNT PER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W/DIAGNOSIS OF END STAGE RENAL DISEASE (ESRD)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1187","description":"PT W/DIAGNOSIS OF END STAGE RENAL DISEASE (ESRD)","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W/DYSPHAG/WT LOSS/IMPAIRED NUTRITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3760F","description":"PT W/DYSPHAG/WT LOSS/IMPAIRED NUTRITION","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WITH CATHETER THAT HV LIMITED LIFE EXPECTANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0050","description":"PT WITH CATHETER THAT HV LIMITED LIFE EXPECTANCY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WO/DYSPHAG/WT LOSS/IMPAIRED NUTRITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3761F","description":"PT WO/DYSPHAG/WT LOSS/IMPAIRED NUTRITION","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT/CG DYAD REF TO APP RES and CON TO RES IS CONF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2186","description":"PT/CG DYAD REF TO APP RES and CON TO RES IS CONF","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9910","description":"PTS 66 OR GT INSTITUTIONAL SNP/RESID LTC GT 90 DA MSR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTS NOT RX/ADM AD TX COM EBRT PROS RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9897","description":"PTS NOT RX/ADM AD TX COM EBRT PROS RSN NOT GVN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 FUNC TESTING/PEAK COUGH EXPIRATORY FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3758F","description":"PULM FUNC TESTING/PEAK COUGH EXPIRATORY FLOW","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4030","description":"PULMONOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NEUROLOGICAL COND MIPS VAL PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0004","description":"QUALITY CARE NEUROLOGICAL COND MIPS VAL PATHWAY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R HRT CATH CHD W/IMG CATH TRGT ZON ABNL NT CONNJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93594","description":"R HRT CATH CHD W/IMG CATH TRGT ZON ABNL NT CONNJ","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":189.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":241.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.42,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R HRT CATH CHD W/IMG CATH TRGT ZONE NML NT CONNJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93593","description":"R HRT CATH CHD W/IMG CATH TRGT ZONE NML NT CONNJ","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":124.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":153.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R and L HRT CATH CHD IMG CATH TRGT ZON ABNL NT CONNJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93597","description":"R and L HRT CATH CHD IMG CATH TRGT ZON ABNL NT CONNJ","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":279.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":439.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":439.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R and L HRT CATH CHD IMG CATH TRGT ZONE NML NT CONNJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93596","description":"R and L HRT CATH CHD IMG CATH TRGT ZONE NML NT CONNJ","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":213.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":263.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R-T FLUORESCENCE WOUND IMG 1ST ANATOMIC SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0598T","description":"R-T FLUORESCENCE WOUND IMG 1ST ANATOMIC SITE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R-T FLUORESCENCE WOUND IMG EA ADDL ANTMC SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0599T","description":"R-T FLUORESCENCE WOUND IMG EA ADDL ANTMC SITE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":74.0698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":74.0698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":74.0698,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":111.1048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":111.1048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":74.0698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":74.0698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":74.0698,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":74.0698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":74.0698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":74.0698,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"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":"2022","billing_code":"72114","description":"RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":74.0698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":74.0698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":74.0698,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION ONCOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4031","description":"RADIATION ONCOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAPID CHLAMYDIA TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"X0096","description":"RAPID CHLAMYDIA TEST","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.64,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PHYS OCCUP SPEECH/ RECREATIONAL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0042","description":"REFERRAL PHYS OCCUP SPEECH/ RECREATIONAL THERAPY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR XTRNL CONT PULM FLU MNTR SYS ALYS DATA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0608T","description":"REM MNTR XTRNL CONT PULM FLU MNTR SYS ALYS DATA","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR XTRNL CONT PULM FLU MNTR SYS SETUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0607T","description":"REM MNTR XTRNL CONT PULM FLU MNTR SYS SETUP","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM OCT RETINA TECHL SUPRT MIN 8 DLY REC EA 30D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0605T","description":"REM OCT RETINA TECHL SUPRT MIN 8 DLY REC EA 30D","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE OCT RETINA 1ST DEV SET-UP and PT EDUCAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0604T","description":"REMOTE OCT RETINA 1ST DEV SET-UP and PT EDUCAJ","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE OCT RETINA REVIEW I and R PHYS/QHP EA 30 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0606T","description":"REMOTE OCT RETINA REVIEW I and R PHYS/QHP EA 30 D","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TOTAL RPLCMT HEART SYS FOR HEART TRNSPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33929","description":"REMOVAL TOTAL RPLCMT HEART SYS FOR HEART TRNSPL","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3348.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":3348.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3348.4,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":19.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.92,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RES SC NECK IMPR NO MSR PT NOT CMPL NFS PROM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2210","description":"RES SC NECK IMPR NO MSR PT NOT CMPL NFS PROM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RES SCORE NECK IMPR SUC CALC and SCORE WAS LT 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2167","description":"RES SCORE NECK IMPR SUC CALC and SCORE WAS LT 0","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESID SC NECK IMPR SUC CALC and SCORE WAS Equal to 0 O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2152","description":"RESID SC NECK IMPR SUC CALC and SCORE WAS Equal to 0 O","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1691.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1691.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1691.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTORIGIN 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4192","description":"RESTORIGIN 1 CC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2041.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2041.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2041.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVITALON PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4157","description":"REVITALON PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4032","description":"RHEUMATOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2243.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2243.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2243.52,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"90673","description":"RIV3 VACCINE PRESERVATIVE FREE FOR IM USE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":84.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.73,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":63.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT SUBSTERNAL IMPLTBL DEFIBRILLATOR PG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0614T","description":"RMVL and RPLCMT SUBSTERNAL IMPLTBL DEFIBRILLATOR PG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSN NOT ADM ADJ TX COURSE INCL CHEMO and HER2-TT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2207","description":"RSN NOT ADM ADJ TX COURSE INCL CHEMO and HER2-TT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 1 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90381","description":"RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":547.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":547.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":585.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":585.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90681","description":"RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":118.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":153.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90680","description":"RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":100.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.97,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"92310","description":"RX AND FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":65.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CNCRNS SCR PROV AND IF POS THEN DOC MIT REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9922","description":"SAFETY CNCRNS SCR PROV AND IF POS THEN DOC MIT REC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CONCERNS SCR POS SCR W/O PROV MIT REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9926","description":"SAFETY CONCERNS SCR POS SCR W/O PROV MIT REC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CONCERNS SCREEN PROVIDED AND NEGATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9923","description":"SAFETY CONCERNS SCREEN PROVIDED AND NEGATIVE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CONCERNS SCREENING NOT PROVIDED RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9925","description":"SAFETY CONCERNS SCREENING NOT PROVIDED RSN NOS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SATISFACTION W/CARE ACHV W/I 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0916","description":"SATISFACTION W/CARE ACHV W/I 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SATISFACTION W/CARE NOT ACHV 90 DAY FLW CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0918","description":"SATISFACTION W/CARE NOT ACHV 90 DAY FLW CAT SURG","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"92551","description":"SCREENING TEST PURE TONE AIR ONLY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":8.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TSTS DIABETES MELLITUS RVWD RQSTD ORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3754F","description":"SCREENING TSTS DIABETES MELLITUS RVWD RQSTD ORD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2381.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":2381.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2381.82,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"97535","description":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKILLED NURSING FACILITY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4033","description":"SKILLED NURSING FACILITY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPACR BAG/RESRVOR W/WO MASK W/METRD DOSE INHAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4627","description":"SPACR BAG/RESRVOR W/WO MASK W/METRD DOSE INHAL","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":31.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.33,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":25.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.03,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH LANGUAGE PATHOLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4034","description":"SPEECH LANGUAGE PATHOLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":19.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.4,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRG PTH CNCL TST MMR IMHISTCHM MSI DNA RSN NT GV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1195","description":"SRG PTH CNCL TST MMR IMHISTCHM MSI DNA RSN NT GV","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBS EPISODE FOR CONDITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1128F","description":"SUBS EPISODE FOR CONDITION","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PATH IMP/CONCL TEST MMR BY IHC MSI DNA TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1193","description":"SURG PATH IMP/CONCL TEST MMR BY IHC MSI DNA TEST","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4218","description":"SURGICORD PER SQ CM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMP AND SIGN DISTAL SYMM POLYNEUROPATHY REVWD AND DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1500F","description":"SYMP AND SIGN DISTAL SYMM POLYNEUROPATHY REVWD AND DOCD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":51.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["19","21","22","23","24","26","41","42","51","52","53","56","61"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":69.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.94,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIALS NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9959","description":"SYSTEMIC ANTIMICROBIALS NOT PRESCRIBED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYSTEMIC ANTIMICROBIALS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9961","description":"SYSTEMIC ANTIMICROBIALS PRESCRIBED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCR AND RSLT INTRP WI 12 MO PRI TO INIT BIO DZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1003","description":"TB SCR AND RSLT INTRP WI 12 MO PRI TO INIT BIO DZ","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB SCREEN NOT PERF/RSLT NOT INTEPR RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1005","description":"TB SCREEN NOT PERF/RSLT NOT INTEPR RSN NOT GVN","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":50.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":601.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":601.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":651.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":651.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.72,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":24.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":38.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TDRM GFR MNTR SNR PLMT and GT 1 DOS PYRAZINE EA 24 HRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0603T","description":"TDRM GFR MNTR SNR PLMT and GT 1 DOS PYRAZINE EA 24 HRS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MEDRONATE DX UP TO 30 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9503","description":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEL CALLS RN TO DZ MGMT PROGM MEMB MONITOR; MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0320","description":"TEL CALLS RN TO DZ MGMT PROGM MEMB MONITOR; MO","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMP FEMALE INTRAURETHRAL VALVE-PUMP 1ST INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0596T","description":"TEMP FEMALE INTRAURETHRAL VALVE-PUMP 1ST INSJ","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMP FEMALE INTRAURETHRAL VALVE-PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0597T","description":"TEMP FEMALE INTRAURETHRAL VALVE-PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENSIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4146","description":"TENSIX PER SQ CM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1106","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1111","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1116","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1121","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1126","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THE START OF AN EPISODE OF CARE DOC MED RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1135","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96376","description":"THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":17.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.54,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.0811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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"}]}]},{"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":37.0349,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","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":"THORACIC SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4035","description":"THORACIC SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOLYSIS CEREBRAL IV INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37195","description":"THROMBOLYSIS CEREBRAL IV INFUSION","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":147.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE MARKER IMPLANTABLE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4648","description":"TISSUE MARKER IMPLANTABLE ANY TYPE EACH","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":78.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.33,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOB SCR NOT PR/TC INV NOT PRV MSR PD/6 MO PT MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0029","description":"TOB SCR NOT PR/TC INV NOT PRV MSR PD/6 MO PT MSR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DISC ARTHRP ANT SECOND INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22860","description":"TOTAL DISC ARTHRP ANT SECOND INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":229.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":229.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.92,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSDERMAL GFR MEAS SNR PLMT and 1 DOS PYRAZINE AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0602T","description":"TRANSDERMAL GFR MEAS SNR PLMT and 1 DOS PYRAZINE AGT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER OF CARE CHECKLIST NOT USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0584F","description":"TRANSFER OF CARE CHECKLIST NOT USED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER OF CARE CHECKLIST USED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0583F","description":"TRANSFER OF CARE CHECKLIST USED","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4167","description":"TRUSKIN PER SQ CM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PSEUDOBULBAR AFFECT SIALORRHEA/ALS SYMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4541F","description":"TX PSEUDOBULBAR AFFECT SIALORRHEA/ALS SYMP","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":19.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CHEMISTRY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84999","description":"UNLISTED CHEMISTRY PROCEDURE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76499","description":"UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":14.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":7.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90999","description":"UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":291.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED ENDOCRINE PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78099","description":"UNLISTED ENDOCRINE PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":30.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED EVALUATION AND MANAGEMENT SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99499","description":"UNLISTED EVALUATION AND MANAGEMENT SERVICE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":40.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPIC PROCEDURE LIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47379","description":"UNLISTED LAPAROSCOPIC PROCEDURE LIVER","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":286.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43659","description":"UNLISTED LAPAROSCOPY PROCEDURE STOMACH","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":435.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":435.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PX ABD PERTONEUM and OMENTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49329","description":"UNLISTED LAPAROSCOPY PX ABD PERTONEUM and OMENTUM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":422.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49659","description":"UNLISTED LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":246.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE COLON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45399","description":"UNLISTED PROCEDURE COLON","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":142.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43499","description":"UNLISTED PROCEDURE ESOPHAGUS","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":246.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE NERVOUS SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64999","description":"UNLISTED PROCEDURE NERVOUS SYSTEM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":571.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":571.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE RECTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45999","description":"UNLISTED PROCEDURE RECTUM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":142.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED THERAPEUTIC PROCEDURE SPECIFY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97139","description":"UNLISTED THERAPEUTIC PROCEDURE SPECIFY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":8.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.73,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URGENT CARE MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4036","description":"URGENT CARE MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PT COMORBID COND DUR 12 MO PRI/ON EP DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2173","description":"URI EP PT COMORBID COND DUR 12 MO PRI/ON EP DATE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 EPI PT ANTIBIOTIC IN 30 DAYS PRIOR EPISOD DT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2174","description":"URI EPI PT ANTIBIOTIC IN 30 DAYS PRIOR EPISOD DT","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROLOGY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4037","description":"UROLOGY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALUE IN PRIMARY CARE MIPS VALUE PATHWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0005","description":"VALUE IN PRIMARY CARE MIPS VALUE PATHWAY","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":"2022","billing_code":"90716","description":"VAR VACCINE LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":188.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASCULAR SURGERY MIPS SPECIALTY SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G4038","description":"VASCULAR SURGERY MIPS SPECIALTY SET","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WITH MAINT HEMODIALYSIS COMPLETE REPORTING MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0049","description":"WITH MAINT HEMODIALYSIS COMPLETE REPORTING MONTH","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"2022","billing_code":"Q4163","description":"WOUNDEX BIOSKIN PER SQUARE CM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUNDEX FLOW BIOSKIN FLOW 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4162","description":"WOUNDEX FLOW BIOSKIN FLOW 0.5 CC","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1804.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":1804.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1804.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.49,"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":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":348.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":447.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":447.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":99.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCELLISTEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2004","description":"XCELLISTEM PER SQ CM","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":12.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"YELLOW FEVER VACCINE LIVE SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90717","description":"YELLOW FEVER VACCINE LIVE SUBQ","negotiated_rates":[{"provider_references":[216343],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"STANDARD","negotiated_rate":252.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]}]}