{"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":216430,"network_name":["SC Network"],"provider_groups":[{"npi":[1295167419,1457823734,1497939615,1609352152,1932530367],"tin":{"type":"ein","value":"570359174","business_name":"ANMED HEALTH PSYCHIATRY"}}]}],"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 OR GRT  HI RSK FCT THROMBOEMBOLISM OR GRT 1 MOD RSK FCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8972","description":"1 OR GRT  HI RSK FCT THROMBOEMBOLISM OR GRT 1 MOD RSK FCT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1-TIME SCR HCV INF NOT RECV WI 12 MO RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9454","description":"1-TIME SCR HCV INF NOT RECV WI 12 MO RSN NOT GVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"12-LEAD ECG NOT PERF RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8707","description":"12-LEAD ECG NOT PERF RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"12-LEAD ELECTROCARDIOGRAM PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8704","description":"12-LEAD ELECTROCARDIOGRAM PERFORMED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"18 YR/OLDER MD/DYSTHYMIA NO REMISS 6 MO PHQ-9 GT 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9574","description":"18 YR/OLDER MD/DYSTHYMIA NO REMISS 6 MO PHQ-9 GT 5","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99221","description":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":96.8626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":96.8626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST MDPP C SESS ATD MDPP BENEFICIARY UND MDPP EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9873","description":"1ST MDPP C SESS ATD MDPP BENEFICIARY UND MDPP EM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99492","description":"1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99494","description":"1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 MDPP C MS ATD MDPP ACHV AL 5PC WL MO 7-9","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9878","description":"2 MDPP C MS ATD MDPP ACHV AL 5PC WL MO 7-9","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 MDPP C MS ATD MDPP BEN ACHV AT 5PC WL MO 10-12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9879","description":"2 MDPP C MS ATD MDPP BEN ACHV AT 5PC WL MO 10-12","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 MDPP C MS ATD MDPP BEN IN MO 7-9 NOT AL 5PC WL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9876","description":"2 MDPP C MS ATD MDPP BEN IN MO 7-9 NOT AL 5PC WL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 MDPP C MS ATD MDPP BEN MO 10-12  NO AL 5PC WL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9877","description":"2 MDPP C MS ATD MDPP BEN MO 10-12  NO AL 5PC WL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 MDPP ONGO MS ATD MDPP BNF MO 16-18 UND MDPP EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9883","description":"2 MDPP ONGO MS ATD MDPP BNF MO 16-18 UND MDPP EM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 MDPP ONGO MS ATD MDPP BNF MO 19-21 UND MDPP EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9884","description":"2 MDPP ONGO MS ATD MDPP BNF MO 19-21 UND MDPP EM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 MDPP ONGO MS ATD MDPP BNF MO 22-24 UND MDPP EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9885","description":"2 MDPP ONGO MS ATD MDPP BNF MO 22-24 UND MDPP EM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2 MDPP ONGOING MS ATD BNF MO 13-15 UND MDPP EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9882","description":"2 MDPP ONGOING MS ATD BNF MO 13-15 UND MDPP EM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2-D CEPHALOMETRIC RAD IMAGE - IMAGE CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0702","description":"2-D CEPHALOMETRIC RAD IMAGE - IMAGE CAP ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2-D O/F PHOTO IMG OBTD INTRAORL/EO-IMG CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0703","description":"2-D O/F PHOTO IMG OBTD INTRAORL/EO-IMG CAP ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2019-NCOV CORONAVIRUS SARS-COV-2/COVID-19 ANY T","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"U0004","description":"2019-NCOV CORONAVIRUS SARS-COV-2/COVID-19 ANY T","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2D CEPHALOMETRIC X-RAY - ACQUISITION MSR  AND  ANALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0340","description":"2D CEPHALOMETRIC X-RAY - ACQUISITION MSR  AND  ANALY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"2VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90650","description":"2VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3-D PHOTOGRAPHIC IMAGE - IMAGE CAPTURE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0704","description":"3-D PHOTOGRAPHIC IMAGE - IMAGE CAPTURE ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D DENTAL SURFACE SCAN-INDIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0802","description":"3D DENTAL SURFACE SCAN-INDIRECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D FACIAL SURFACE SCAN-DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0803","description":"3D FACIAL SURFACE SCAN-DIRECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D FACIAL SURFACE SCAN-INDIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0804","description":"3D FACIAL SURFACE SCAN-INDIRECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D INTRAORAL SURFACE SCAN-DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0801","description":"3D INTRAORAL SURFACE SCAN-DIRECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D PHOTOGRAPHIC IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0351","description":"3D PHOTOGRAPHIC IMAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D PREDICTIVE MODEL USING DATA FRM CCTA  and /OR MRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9793","description":"3D PREDICTIVE MODEL USING DATA FRM CCTA  and /OR MRI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D VOLUMETRIC IMG and RCNSTJ BRST/AX LYMPH NODE TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0694T","description":"3D VOLUMETRIC IMG and RCNSTJ BRST/AX LYMPH NODE TISS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"4 TOTAL MDPP CORE SES ATD MDPP BENEF UND MDPP EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9874","description":"4 TOTAL MDPP CORE SES ATD MDPP BENEF UND MDPP EM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE AND 0.45 PCT  NORMAL SALINE 1000 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5010","description":"5 PCT  DEXTROSE AND 0.45 PCT  NORMAL SALINE 1000 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE WITH POTASSIUM CHLORIDE 1000 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5012","description":"5 PCT  DEXTROSE WITH POTASSIUM CHLORIDE 1000 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE/0.45 PCT  NL SALINE W/KCL and MGSO4 1500 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5014","description":"5 PCT  DEXTROSE/0.45 PCT  NL SALINE W/KCL and MGSO4 1500 M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DXTROS/0.45 PCT  NL SALINE KCL and MGSO4 1000 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5013","description":"5 PCT  DXTROS/0.45 PCT  NL SALINE KCL and MGSO4 1000 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5PCT  DEXTROSE-LACTATED RINGERS 1000ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5011","description":"5PCT  DEXTROSE-LACTATED RINGERS 1000ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"64 LEAD ECG W INTERPRETATION  AND  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0178T","description":"64 LEAD ECG W INTERPRETATION  AND  REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"64 LEAD ECG W INTERPRETATION  AND  REPORT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0180T","description":"64 LEAD ECG W INTERPRETATION  AND  REPORT ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"64 LEAD ECG W TRACING  AND  GRAPHICS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0179T","description":"64 LEAD ECG W TRACING  AND  GRAPHICS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"2024F","description":"7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 STD FIELD STEREO PH INTERPR OPH/OPTM DOC  and  REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2103","description":"7 STD FIELD STEREO PH INTERPR OPH/OPTM DOC  and  REV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"9 TOTAL MDPP C SESS ATD MDPP BENEF UND MDPP EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9875","description":"9 TOTAL MDPP C SESS ATD MDPP BENEF UND MDPP EM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A FINDING OF AN INCIDENTAL PULMONARY NODULE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9754","description":"A FINDING OF AN INCIDENTAL PULMONARY NODULE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABDOMINAL AORTIC ANEURYSM IS NOT INFARENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8821","description":"ABDOMINAL AORTIC ANEURYSM IS NOT INFARENAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABI MEASURED AND DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8513","description":"ABI MEASURED AND DOCUMENTED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABI MEASUREDND DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8407","description":"ABI MEASUREDND DOCUMENTED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABI MEASUREMENT WAS NOT OBTAINED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8408","description":"ABI MEASUREMENT WAS NOT OBTAINED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABI MEASUREMENT WAS NOT OBTAINED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8515","description":"ABI MEASUREMENT WAS NOT OBTAINED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABL LASER TX OPEN WND PR DAY 1ST 20 SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0491T","description":"ABL LASER TX OPEN WND PR DAY 1ST 20 SQCM OR LT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABL LASER TX OPEN WND PR DAY ADDL 20 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0492T","description":"ABL LASER TX OPEN WND PR DAY ADDL 20 SQCM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATE PULM TUMORS W PLEURA CHEST WALL EXTSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0340T","description":"ABLATE PULM TUMORS W PLEURA CHEST WALL EXTSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION B9 THYROID NODULE PERQ LASER W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0673T","description":"ABLATION B9 THYROID NODULE PERQ LASER W/IMG GDN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION MAL BRST TUMOR PERQ CRTX UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0581T","description":"ABLATION MAL BRST TUMOR PERQ CRTX UNILATERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION MAL PRST8 TISS MAGNETIC FIELD INDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0739T","description":"ABLATION MAL PRST8 TISS MAGNETIC FIELD INDUCTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION PROSTATE TRANSRECTAL HIFU INCL I GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9747","description":"ABLATION PROSTATE TRANSRECTAL HIFU INCL I GUID","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ PERC CRYOABLTJ IMG GDN LXTR/PERPH NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0441T","description":"ABLTJ PERC CRYOABLTJ IMG GDN LXTR/PERPH NERVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0442T","description":"ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ PERC CRYOABLTJ IMG GDN UXTR/PERPH NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0440T","description":"ABLTJ PERC CRYOABLTJ IMG GDN UXTR/PERPH NERVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABSOLUTE QUAN MYOCARD BLD FLO PET STRESS  AND  REST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0482T","description":"ABSOLUTE QUAN MYOCARD BLD FLO PET STRESS  AND  REST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABSORB WD DR HOM MDL PRTBLE PAD SZ 16 SQ IN/LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0744","description":"ABSORB WD DR HOM MDL PRTBLE PAD SZ 16 SQ IN/LESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABSORB WND DRSG HOM MDL PRTBLE PAD SZ  GT  48 SQ IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0746","description":"ABSORB WND DRSG HOM MDL PRTBLE PAD SZ  GT  48 SQ IN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABSRB WD DR HOM MDL PRT PAD GT 16 SQ IN LT or equal to  48","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0745","description":"ABSRB WD DR HOM MDL PRT PAD GT 16 SQ IN LT or equal to  48","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUT SUPP RETAIN - PORCLN FUSED TO TIT  AND  TIT ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6195","description":"ABUT SUPP RETAIN - PORCLN FUSED TO TIT  AND  TIT ALY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUTMENT SUPP CROWN - PORCELAIN FU TI  AND  TI ALLOY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6097","description":"ABUTMENT SUPP CROWN - PORCELAIN FU TI  AND  TI ALLOY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABUTMENT SUPP CROWN - TITANIUM  AND  TITANIUM ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6094","description":"ABUTMENT SUPP CROWN - TITANIUM  AND  TITANIUM ALLOYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AC5 ADVANCED WOUND SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2020","description":"AC5 ADVANCED WOUND SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESS AV DIAL GRFT FOR EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36147","description":"ACCESS AV DIAL GRFT FOR EVAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESS AV DIAL GRFT FOR PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36148","description":"ACCESS AV DIAL GRFT FOR PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2512","description":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESS TISS GR and MIC EX ASSESS SURG MARG PREP/RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0474","description":"ACCESS TISS GR and MIC EX ASSESS SURG MARG PREP/RPT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESS TISSUE GR and MIC EXAMINATION PREP/REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0473","description":"ACCESS TISSUE GR and MIC EXAMINATION PREP/REPRT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSING  and  RETORQUING LOOSE IMPLANT SCR-PER SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6089","description":"ACCESSING  and  RETORQUING LOOSE IMPLANT SCR-PER SCR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSION OF TISSUE GROSS EXAMINATION PREP/REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0472","description":"ACCESSION OF TISSUE GROSS EXAMINATION PREP/REPRT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSORY FOR GRAD CPRSN GMT/WRAP ADJ STRAPS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6593","description":"ACCESSORY FOR GRAD CPRSN GMT/WRAP ADJ STRAPS NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSORY FOR SPEECH GENERATING DEVICE NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2599","description":"ACCESSORY FOR SPEECH GENERATING DEVICE NOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE ARB INHIBITOR THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4009F","description":"ACE ARB INHIBITOR THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE ARB NOT RX PATIENT W ABN LVEF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8472","description":"ACE ARB NOT RX PATIENT W ABN LVEF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACE ARB RX PATIENT W ABN LVEF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8468","description":"ACE ARB RX PATIENT W ABN LVEF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACELLULAR DERM TISS MATRIX NON-HUMN ORIG SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9351","description":"ACELLULAR DERM TISS MATRIX NON-HUMN ORIG SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACELLULAR PERICARDIAL TISS MATRIX NONHUMAN SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9354","description":"ACELLULAR PERICARDIAL TISS MATRIX NONHUMAN SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACELLULAR XENOGRAFT IMPLANT 1ST 100 CM 1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15430","description":"ACELLULAR XENOGRAFT IMPLANT 1ST 100 CM 1 PCT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACELLULAR XENOGRAFT IMPLANT EA 100 CM 1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15431","description":"ACELLULAR XENOGRAFT IMPLANT EA 100 CM 1 PCT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESS EXFOLIATIVE CYTOL SMEAR MIC EXAM PREP/REPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0480","description":"ACESS EXFOLIATIVE CYTOL SMEAR MIC EXAM PREP/REPT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4293","description":"ACESSO DL PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACESSO TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4300","description":"ACESSO TL PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCYSTEINE INHAL SOL COMP PROD UNIT DOSE P G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7604","description":"ACETYLCYSTEINE INHAL SOL COMP PROD UNIT DOSE P G","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACID CONCENTRATE SOLUTION HEMODIAL PER GALLON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4709","description":"ACID CONCENTRATE SOLUTION HEMODIAL PER GALLON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACLR DERMAL ALLOGRAFT TRUNK ARM LEG 1ST 100 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15330","description":"ACLR DERMAL ALLOGRAFT TRUNK ARM LEG 1ST 100 CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACLR DERMAL ALLOGRAFT TRUNK ARM LEG EA 100CM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15331","description":"ACLR DERMAL ALLOGRAFT TRUNK ARM LEG EA 100CM EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACLR DRM ALGRFT F S N H F G M D GT EA 100 CM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15336","description":"ACLR DRM ALGRFT F S N H F G M D GT EA 100 CM EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACLR DRM ALLOGRAFT F S N H F G M D GT 1ST 100CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15335","description":"ACLR DRM ALLOGRAFT F S N H F G M D GT 1ST 100CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACLR DRM RPLCMT F S N H F G M D GT 1ST 100 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15175","description":"ACLR DRM RPLCMT F S N H F G M D GT 1ST 100 CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACLR DRM RPLCMT F S N H F G M D GT EA 100 CM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15176","description":"ACLR DRM RPLCMT F S N H F G M D GT EA 100 CM EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACLR DRM RPLCMT T A L 1ST 100 CM OR LESS  1 PCT  BDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15170","description":"ACLR DRM RPLCMT T A L 1ST 100 CM OR LESS  1 PCT  BDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACLR DRM RPLCMT T A L EA 100 CM EA 1 PCT  BDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15171","description":"ACLR DRM RPLCMT T A L EA 100 CM EA 1 PCT  BDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACOUSTIC ECG 1 PLUS  ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0224T","description":"ACOUSTIC ECG 1 PLUS  ANALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACOUSTIC ECG ANALY  AND  REPROG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0225T","description":"ACOUSTIC ECG ANALY  AND  REPROG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACOUSTIC ECG W I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0223T","description":"ACOUSTIC ECG W I AND R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTAT CONCENTRATE SOLUTION HEMODIAL PER GALLON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4708","description":"ACTAT CONCENTRATE SOLUTION HEMODIAL PER GALLON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIGRAPHY TESTING, 3-DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0089T","description":"ACTIGRAPHY TESTING, 3-DAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVATE MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4301","description":"ACTIVATE MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVATED CARBON FILTER FOR HEMODIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4680","description":"ACTIVATED CARBON FILTER FOR HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVATION DEVC IU DRNG DEVC VLV REPLAC ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1011","description":"ACTIVATION DEVC IU DRNG DEVC VLV REPLAC ONLY EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVITY THERAPY PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2032","description":"ACTIVITY THERAPY PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTV TX  REL CARE AND TX PTS DISABL MENTL HLTH-SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0176","description":"ACTV TX  REL CARE AND TX PTS DISABL MENTL HLTH-SESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPT BHV TX PRTCL MODIFICAJ EA 15 MIN TECH TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0373T","description":"ADAPT BHV TX PRTCL MODIFICAJ EA 15 MIN TECH TIME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97155","description":"ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPTER FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4282","description":"ADAPTER FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPTER/EXT PACING LEAD/NEUROSTIMULATOR LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1883","description":"ADAPTER/EXT PACING LEAD/NEUROSTIMULATOR LEAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPTIVE BEHAVIOR TX BY PROTOCOL ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0365T","description":"ADAPTIVE BEHAVIOR TX BY PROTOCOL ADDL 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPTIVE BEHAVIOR TX BY PROTOCOL FIRST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0364T","description":"ADAPTIVE BEHAVIOR TX BY PROTOCOL FIRST 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPTIVE BEHAVIOR TX BY PROTOCOL TECH EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97153","description":"ADAPTIVE BEHAVIOR TX BY PROTOCOL TECH EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSK KN-SHIN SYS 4 BAR LINK/MXAXIAL FL SW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1014","description":"ADD ENDOSK KN-SHIN SYS 4 BAR LINK/MXAXIAL FL SW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD JNT UPPER EXTREM ORTHOSIS ANY MATERIAL; JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3956","description":"ADD JNT UPPER EXTREM ORTHOSIS ANY MATERIAL; JNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LE PROS ENDOSK KNEE DISART ABV K HIP DISAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1022","description":"ADD LE PROS ENDOSK KNEE DISART ABV K HIP DISAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT JOINT KNEE/ANK CSTM FAB ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2861","description":"ADD LOW EXT JOINT KNEE/ANK CSTM FAB ONLY EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS ANY MATERIAL BAR JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2770","description":"ADD LOW EXTREM ORTHOSIS ANY MATERIAL BAR JOINT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXT PROSTH HVY DUTY OTH THAN FOOT KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5995","description":"ADD LOWER EXT PROSTH HVY DUTY OTH THAN FOOT KNEE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXT PROSTHESIS HEAVY DUTY FOOT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5993","description":"ADD LOWER EXT PROSTHESIS HEAVY DUTY FOOT ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXT PROSTHESIS HEAVY DUTY KNEE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5994","description":"ADD LOWER EXT PROSTHESIS HEAVY DUTY KNEE ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT JNT KNEE ANK ADJ TORSION STYL MECH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2860","description":"ADD LW EXT JNT KNEE ANK ADJ TORSION STYL MECH EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD MTL SUBSTRUC TO ACRYLIC CMPLT DENT PER ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5876","description":"ADD MTL SUBSTRUC TO ACRYLIC CMPLT DENT PER ARCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD TO SPINAL ORTHOSIS NOT OTHERWISE SPECFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0999","description":"ADD TO SPINAL ORTHOSIS NOT OTHERWISE SPECFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD TO UP EXT JNT WRST ELB ADJ TORSION MECH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3890","description":"ADD TO UP EXT JNT WRST ELB ADJ TORSION MECH EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT JNT WRIST/ELB CSTM FAB ORTHOT ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3891","description":"ADD UP EXT JNT WRIST/ELB CSTM FAB ORTHOT ONLY EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION ENDOSKELETAL ANKLE-FOOT/ANK PWR ASSIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5969","description":"ADDITION ENDOSKELETAL ANKLE-FOOT/ANK PWR ASSIST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITIVE FOR ENTERAL FORMULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4104","description":"ADDITIVE FOR ENTERAL FORMULA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOMA OTH NEO DET DUR SCR COL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9252","description":"ADENOMA OTH NEO DET DUR SCR COL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOMA OTH NEO NOT DET DUR SCR COL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9253","description":"ADENOMA OTH NEO NOT DET DUR SCR COL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOMA/COLORECTAL CANCER DETECTED DUR SCR COLO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9933","description":"ADENOMA/COLORECTAL CANCER DETECTED DUR SCR COLO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOMA/CRC NOT DETECTED DURING SCR COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9935","description":"ADENOMA/CRC NOT DETECTED DURING SCR COLONOSCOPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOSINE, 30 MG, INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0152","description":"ADENOSINE, 30 MG, INJECTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOVIRUS VACCINE TYPE 4 LIVE ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90476","description":"ADENOVIRUS VACCINE TYPE 4 LIVE ORAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOVIRUS VACCINE TYPE 7 LIVE FOR ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90477","description":"ADENOVIRUS VACCINE TYPE 7 LIVE FOR ORAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESION BARRIER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1765","description":"ADHESION BARRIER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE BANDAGE FIRST-AID TYPE ANY SIZE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6413","description":"ADHESIVE BANDAGE FIRST-AID TYPE ANY SIZE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE REMOVER WIPES ANY TYPE PER 50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4365","description":"ADHESIVE REMOVER WIPES ANY TYPE PER 50","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJ CHEMO NOT PRSC PRV RECV DOC RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8928","description":"ADJ CHEMO NOT PRSC PRV RECV DOC RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJ CHEMO NOT PRSC RECV RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8929","description":"ADJ CHEMO NOT PRSC RECV RSN NOT GVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJ CHEMO REF PREV REC AJCC SIII CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8927","description":"ADJ CHEMO REF PREV REC AJCC SIII CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJ GASTRIC BAND DIAM SUBQ PORT INJ/ASPIR SALINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2083","description":"ADJ GASTRIC BAND DIAM SUBQ PORT INJ/ASPIR SALINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUNCTIVE BLUE LIGHT CYSTOSCOPY FLUO IMAG AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9738","description":"ADJUNCTIVE BLUE LIGHT CYSTOSCOPY FLUO IMAG AGT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUNCTIVE PREDX TST NOT INCL CYTOLOGY/BX PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0431","description":"ADJUNCTIVE PREDX TST NOT INCL CYTOLOGY/BX PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUST COMPLETE DENTURE - MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5411","description":"ADJUST COMPLETE DENTURE - MANDIBULAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUST COMPLETE DENTURE - MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5410","description":"ADJUST COMPLETE DENTURE - MAXILLARY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUST MAXILLOFACIAL PROSTH APPLIANCE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5992","description":"ADJUST MAXILLOFACIAL PROSTH APPLIANCE BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUST PARTIAL DENTURE - MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5422","description":"ADJUST PARTIAL DENTURE - MANDIBULAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUST PARTIAL DENTURE - MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5421","description":"ADJUST PARTIAL DENTURE - MAXILLARY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTABLE CHAIR FOR ESRD PATIENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1570","description":"ADJUSTABLE CHAIR FOR ESRD PATIENTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN AND SUPPLY TOSITUMOMAB 450MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G3001","description":"ADMIN AND SUPPLY TOSITUMOMAB 450MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN OF DS/GA EA SUBQ 15 MIN INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9223","description":"ADMIN OF DS/GA EA SUBQ 15 MIN INC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN OF MS INTRAVENOUS EACH SUBSQ 15 MIN INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9243","description":"ADMIN OF MS INTRAVENOUS EACH SUBSQ 15 MIN INC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN ORL IM and /SUBQ MED HLTH CARE AGCY/PROF-VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1502","description":"ADMIN ORL IM and /SUBQ MED HLTH CARE AGCY/PROF-VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF DS/GA FST 15 MINUTE INCREMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9222","description":"ADMINISTRATION OF DS/GA FST 15 MINUTE INCREMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF HEPATITIS B VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0010","description":"ADMINISTRATION OF HEPATITIS B VACCINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF HOME SLEEP APNEA TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9956","description":"ADMINISTRATION OF HOME SLEEP APNEA TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF INFLUENZA VIRUS VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0008","description":"ADMINISTRATION OF INFLUENZA VIRUS VACCINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF MS INTRAVENOUS FST 15 MIN INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9239","description":"ADMINISTRATION OF MS INTRAVENOUS FST 15 MIN INC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF NITROUS OXIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9230","description":"ADMINISTRATION OF NITROUS OXIDE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF PNEUMOCOCCAL VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0009","description":"ADMINISTRATION OF PNEUMOCOCCAL VACCINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMINISTRATION OF VACCINE PART D DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0377","description":"ADMINISTRATION OF VACCINE PART D DRUG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMISSION TO MEDICARE CARE CHOICE MODEL PROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9480","description":"ADMISSION TO MEDICARE CARE CHOICE MODEL PROGRAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN MED NOT ORAL  and  OR INJ HLTH AGENCY/PROF VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1503","description":"ADMN MED NOT ORAL  and  OR INJ HLTH AGENCY/PROF VST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADOPTIVE IMMUNOTHERAPY PER COURSE OF TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2107","description":"ADOPTIVE IMMUNOTHERAPY PER COURSE OF TREATMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRC THER PRTL THICKNESS RC TEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0717T","description":"ADRC THER PRTL THICKNESS RC TEAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRC THER PRTL THICKNESS RC TEAR NJX TENDON UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0718T","description":"ADRC THER PRTL THICKNESS RC TEAR NJX TENDON UNI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENAL TISSUE TRANSPLANT TO BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2103","description":"ADRENAL TISSUE TRANSPLANT TO BRAIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULT  GT 18 YR MD/DYSTHYMIA REMISS AT 6 MO PHQ-9 GT 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9573","description":"ADULT  GT 18 YR MD/DYSTHYMIA REMISS AT 6 MO PHQ-9 GT 5","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULT SIZE DISPBL INCONT PULLUP ABVE EXTRA LG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4544","description":"ADULT SIZE DISPBL INCONT PULLUP ABVE EXTRA LG EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED BRAIN IMAGING WAS NOT ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9534","description":"ADVANCED BRAIN IMAGING WAS NOT ORDERED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED BRAIN IMAGING WAS ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9538","description":"ADVANCED BRAIN IMAGING WAS ORDERED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADVANCED LIFE SUPPORT LEVEL 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0433","description":"ADVANCED LIFE SUPPORT LEVEL 2","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEROSOL COMPRESSOR BAT POWERED FOR SM VOL NEB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0571","description":"AEROSOL COMPRESSOR BAT POWERED FOR SM VOL NEB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AGRFT SUSP INCL CELL PROC  and  APPL  and  ALL SYST COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1832","description":"AGRFT SUSP INCL CELL PROC  and  APPL  and  ALL SYST COMP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AHI RDI/REI DOC/MEAS WI 2 MO AFTER EVAL SUS OSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8842","description":"AHI RDI/REI DOC/MEAS WI 2 MO AFTER EVAL SUS OSA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AI DS SLE ALYS 8 IGG AUTOANT and 2 CLL BOUND PRDCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0312U","description":"AI DS SLE ALYS 8 IGG AUTOANT and 2 CLL BOUND PRDCTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90694","description":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR BUBBLE DETECTOR HEMODIALYSIS EA REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1530","description":"AIR BUBBLE DETECTOR HEMODIALYSIS EA REPLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR PRESSURE ELEVATOR FOR HEEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0370","description":"AIR PRESSURE ELEVATOR FOR HEEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIRWAY SIZING  AND  INSERT BRONCHIAL VALVE EA LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0250T","description":"AIRWAY SIZING  AND  INSERT BRONCHIAL VALVE EA LOBE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 0 DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3302F","description":"AJCC STAGE 0 DOCD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 IA DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3303F","description":"AJCC STAGE IA DOCD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE IB DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3304F","description":"AJCC STAGE IB DOCD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE IC DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3305F","description":"AJCC STAGE IC DOCD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE IIA DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3306F","description":"AJCC STAGE IIA DOCD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE IIB DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3307F","description":"AJCC STAGE IIB DOCD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE IIC DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3308F","description":"AJCC STAGE IIC DOCD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE IIIA DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3309F","description":"AJCC STAGE IIIA DOCD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE IIIB DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3310F","description":"AJCC STAGE IIIB DOCD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE IIIC DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3311F","description":"AJCC STAGE IIIC DOCD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE IV DOCD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3312F","description":"AJCC STAGE IV DOCD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE IVB DOC'D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3313F","description":"AJCC STAGE IVB DOC'D","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC STAGE IVC DOC'D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3314F","description":"AJCC STAGE IVC DOC'D","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL I SOL 1 MG ALBUTROL 0.5 MG LEVALBUTROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7603","description":"ALBUTEROL I SOL 1 MG ALBUTROL 0.5 MG LEVALBUTROL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL I SOL CONC 1MG ALBUTERL 0.5 LEVALBUTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7602","description":"ALBUTEROL I SOL CONC 1MG ALBUTERL 0.5 LEVALBUTRL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7609","description":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7610","description":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALC  and /OTH RX TST: CLCT and HNDLING ONLY OTH THAN BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0048","description":"ALC  and /OTH RX TST: CLCT and HNDLING ONLY OTH THAN BLD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHL  AND OR RX SRVC; METHADONE ADMIN  AND OR SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0020","description":"ALCOHL  AND OR RX SRVC; METHADONE ADMIN  AND OR SERVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHL  and / RX SCR; LAB ANALY PRESENC ALCOHL  and / RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0003","description":"ALCOHL  and / RX SCR; LAB ANALY PRESENC ALCOHL  and / RX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHL and /RX PREV PROB ID and REF SRVC NOT W/ASSESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0028","description":"ALCOHL and /RX PREV PROB ID and REF SRVC NOT W/ASSESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHL and /RX PREVENTION PROCESS SERVICE CMTY-BASED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0026","description":"ALCOHL and /RX PREVENTION PROCESS SERVICE CMTY-BASED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR DRUG ABS HALFWAY HOUSE SRVC PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2034","description":"ALCOHOL  AND OR DRUG ABS HALFWAY HOUSE SRVC PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR DRUG PREVENTION ALTERNATIVES SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0029","description":"ALCOHOL  AND OR DRUG PREVENTION ALTERNATIVES SERVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR DRUG PREVENTION ENVIR SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0027","description":"ALCOHOL  AND OR DRUG PREVENTION ENVIR SERVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR DRUG SERVICES; ACUTE DTOX HOSP IP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0009","description":"ALCOHOL  AND OR DRUG SERVICES; ACUTE DTOX HOSP IP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR DRUG SERVICES; AMB DETOXIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0014","description":"ALCOHOL  AND OR DRUG SERVICES; AMB DETOXIFICATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR DRUG SERVICES; CRISIS INTERVENTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0007","description":"ALCOHOL  AND OR DRUG SERVICES; CRISIS INTERVENTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR DRUG SRVC BRF INTERVENTN  PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0050","description":"ALCOHOL  AND OR DRUG SRVC BRF INTERVENTN  PER 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR DRUG SRVC; SUB-ACUTE DTOX HOSP IP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0008","description":"ALCOHOL  AND OR DRUG SRVC; SUB-ACUTE DTOX HOSP IP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR OTH DRUG TREATMENT PROGRAM PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2036","description":"ALCOHOL  AND OR OTH DRUG TREATMENT PROGRAM PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and / DRUG SERVICES; ACUTE DTOX RES PROG OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0013","description":"ALCOHOL  and / DRUG SERVICES; ACUTE DTOX RES PROG OP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and / DRUG SRVC; SUB-ACUTE DTOX RES PROG IP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0010","description":"ALCOHOL  and / DRUG SRVC; SUB-ACUTE DTOX RES PROG IP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and / DRUG SRVC; SUB-ACUTE DTOX RES PROG OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0012","description":"ALCOHOL  and / DRUG SRVC; SUB-ACUTE DTOX RES PROG OP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and / SUBST MISUSE ST ASMT  and  INTERV  GT 30 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0397","description":"ALCOHOL  and / SUBST MISUSE ST ASMT  and  INTERV  GT 30 MI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and /SUB MISUSE ST ASMT  and  BRF INT 15-30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0396","description":"ALCOHOL  and /SUB MISUSE ST ASMT  and  BRF INT 15-30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and /SUBST MISUSE ST ASMT  and  BRF INT 5-14 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2011","description":"ALCOHOL  and /SUBST MISUSE ST ASMT  and  BRF INT 5-14 M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  and OR SUBSTANCE ABS SRVC FAM/COUPLE CNSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1006","description":"ALCOHOL  and OR SUBSTANCE ABS SRVC FAM/COUPLE CNSL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR DRUG ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0001","description":"ALCOHOL AND/OR DRUG ASSESSMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR DRUG INTERVENTION SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0022","description":"ALCOHOL AND/OR DRUG INTERVENTION SERVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR DRUG SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0049","description":"ALCOHOL AND/OR DRUG SCREENING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR DRUG SERVICES; CASE MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0006","description":"ALCOHOL AND/OR DRUG SERVICES; CASE MANAGEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR DRUG SERVICES; MEDICAL/SOMATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0016","description":"ALCOHOL AND/OR DRUG SERVICES; MEDICAL/SOMATIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR DRUG TRAINING SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0021","description":"ALCOHOL AND/OR DRUG TRAINING SERVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL AND/OR OTHER DRUG ABUSE SERVICES NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0047","description":"ALCOHOL AND/OR OTHER DRUG ABUSE SERVICES NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL OR PEROXIDE PER PINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4244","description":"ALCOHOL OR PEROXIDE PER PINT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL WIPES PER BOX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4245","description":"ALCOHOL WIPES PER BOX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL and /SUBSTANCE ABS SERVICES SKILLS DVLP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1012","description":"ALCOHOL and /SUBSTANCE ABS SERVICES SKILLS DVLP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"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":"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":"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":[216430],"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":"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":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALERT OR ALARM DEVICE NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9280","description":"ALERT OR ALARM DEVICE NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGRFT TEMP CLOSURE F S N H F G M D 1ST 100CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15320","description":"ALGRFT TEMP CLOSURE F S N H F G M D 1ST 100CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGRFT TEMP CLOSURE F S N H F G M D EA 100CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15321","description":"ALGRFT TEMP CLOSURE F S N H F G M D EA 100CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGRFT TEMPORARY CLOSURE T A L 1ST 100 CM OR LESS  1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15300","description":"ALGRFT TEMPORARY CLOSURE T A L 1ST 100 CM OR LESS  1","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGRFT TEMPORARY CLOSURE T A L EA 100 CM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15301","description":"ALGRFT TEMPORARY CLOSURE T A L EA 100 CM EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALKALOIDS NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80323","description":"ALKALOIDS NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALKALOIDS URINE QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6041","description":"ALKALOIDS URINE QUANTITATIVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL ACTIONS HEP C MSR PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8549","description":"ALL ACTIONS HEP C MSR PERFORMED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"6030F","description":"ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL INCL PMT FOR SRVC REL HI COORD  and  INT OUD TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2172","description":"ALL INCL PMT FOR SRVC REL HI COORD  and  INT OUD TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL NEC DATA EES NOT INCL R NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9324","description":"ALL NEC DATA EES NOT INCL R NOT GVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL PRSC DUR ENCNTR QUAL E-PRSC SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8443","description":"ALL PRSC DUR ENCNTR QUAL E-PRSC SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL Q ACT APPL MSR AOE GRP PRF PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9466","description":"ALL Q ACT APPL MSR AOE GRP PRF PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL Q ACT APPL MSR CKD MSR PERF PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8495","description":"ALL Q ACT APPL MSR CKD MSR PERF PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL Q ACT APPL MSR HTN MSR PRF PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8763","description":"ALL Q ACT APPL MSR HTN MSR PRF PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL Q ACT APPL MSR IBD MSR PRF PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8758","description":"ALL Q ACT APPL MSR IBD MSR PRF PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL Q ACT MSR SINUSIT MSR GRP PR PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9464","description":"ALL Q ACT MSR SINUSIT MSR GRP PR PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QLTY ACT APP MSR MX CHR CND MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9670","description":"ALL QLTY ACT APP MSR MX CHR CND MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QLTY ACT APPL MSR DIAB RP MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9672","description":"ALL QLTY ACT APPL MSR DIAB RP MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QLTY ACT APPLIC MSR CV PREV MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9677","description":"ALL QLTY ACT APPLIC MSR CV PREV MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACT APPL MSR RA MSR PRF PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8499","description":"ALL QUAL ACT APPL MSR RA MSR PRF PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACT APPL MSR SA MSR PRF PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8759","description":"ALL QUAL ACT APPL MSR SA MSR PRF PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACT APPL ONC MSR GRP PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8953","description":"ALL QUAL ACT APPL ONC MSR GRP PERF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACT ASTHMA MEAS PERFRM PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8646","description":"ALL QUAL ACT ASTHMA MEAS PERFRM PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACT CV PREV MSR PRFRM PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8764","description":"ALL QUAL ACT CV PREV MSR PRFRM PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACT MSR BK PAIN MSR PRFRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8502","description":"ALL QUAL ACT MSR BK PAIN MSR PRFRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACT MSR CABG MSR GRP PRFRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8497","description":"ALL QUAL ACT MSR CABG MSR GRP PRFRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACT MSR COPD MSR PRFRM PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8757","description":"ALL QUAL ACT MSR COPD MSR PRFRM PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACT MSR HIV AIDS MSR PRFRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8500","description":"ALL QUAL ACT MSR HIV AIDS MSR PRFRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACT MSR PERIOP MSR PRFRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8501","description":"ALL QUAL ACT MSR PERIOP MSR PRFRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACT MSR PRV CARE MSR PRFRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8496","description":"ALL QUAL ACT MSR PRV CARE MSR PRFRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACT PD MSR GRP PERFORM PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8762","description":"ALL QUAL ACT PD MSR GRP PERFORM PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACTION EXPOS IR MSR PERFRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9236","description":"ALL QUAL ACTION EXPOS IR MSR PERFRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACTION GEN SURG MSR PERFRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9235","description":"ALL QUAL ACTION GEN SURG MSR PERFRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACTION TKR MSR GRP PERFORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9233","description":"ALL QUAL ACTION TKR MSR GRP PERFORM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACTIONS CAT MEAS PERFORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8765","description":"ALL QUAL ACTIONS CAT MEAS PERFORM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACTIONS DEMENT MEAS PERFRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8761","description":"ALL QUAL ACTIONS DEMENT MEAS PERFRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACTIONS HF MSR PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8551","description":"ALL QUAL ACTIONS HF MSR PERFORMED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACTIONS IV MSR PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8552","description":"ALL QUAL ACTIONS IV MSR PERFORMED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACTN MSR CAD MSR GRP PRFRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8498","description":"ALL QUAL ACTN MSR CAD MSR GRP PRFRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL QUAL ACTN MSR DM MSR GRP PRFRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8494","description":"ALL QUAL ACTN MSR DM MSR GRP PRFRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLODERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4116","description":"ALLODERM PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20930","description":"ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4115","description":"ALLOSKIN PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOSKIN RT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4123","description":"ALLOSKIN RT PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4150","description":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALS ROUTINE DISPOSABLE SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0398","description":"ALS ROUTINE DISPOSABLE SUPPLIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALS SPCLIZED SERVICE DISPBL SPL; ESOPH INTUBAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0396","description":"ALS SPCLIZED SERVICE DISPBL SPL; ESOPH INTUBAT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALS SPECIALIZED SERVICE DISPBL SPL; IV DRUG TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0394","description":"ALS SPECIALIZED SERVICE DISPBL SPL; IV DRUG TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0392","description":"ALS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMANTADINE HCI ORAL BRAN PER 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9033","description":"AMANTADINE HCI ORAL BRAN PER 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMANTADINE HCI ORAL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9017","description":"AMANTADINE HCI ORAL PER 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB OXYGEN AND O2 SUPPLIES LIFE SUSTAINING SITUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0422","description":"AMB OXYGEN AND O2 SUPPLIES LIFE SUSTAINING SITUATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE AIR NONEMERGENCY 1 WAY FIXED WING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9960","description":"AMB SERVICE AIR NONEMERGENCY 1 WAY FIXED WING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE AIR NONEMERGENCY 1 WAY ROTARY WING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9961","description":"AMB SERVICE AIR NONEMERGENCY 1 WAY ROTARY WING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0427","description":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SET SUBSTANCE ABS TX/DTOXFICATION SRVC-DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9475","description":"AMB SET SUBSTANCE ABS TX/DTOXFICATION SRVC-DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SRVC CONV AIR SRVC TRANS 1 WAY FIXED WING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0430","description":"AMB SRVC CONV AIR SRVC TRANS 1 WAY FIXED WING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB SRVC CONV AIR SRVC TRANS 1 WAY ROTARY WING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0431","description":"AMB SRVC CONV AIR SRVC TRANS 1 WAY ROTARY WING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULANCE BASIC LIFE SUPPORT PER MILE 1 WAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0020","description":"AMBULANCE BASIC LIFE SUPPORT PER MILE 1 WAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY TRACTION DEVICE ALL TYPES EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0830","description":"AMBULATORY TRACTION DEVICE ALL TYPES EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMI: PT DOC RECV ASPIRIN AT ARRIVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8006","description":"AMI: PT DOC RECV ASPIRIN AT ARRIVAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMI: PT NOT DOC RECV ASPIRN ARRIVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8007","description":"AMI: PT NOT DOC RECV ASPIRN ARRIVAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMI: PT NOT DOC RECVD BB AT ARRIVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8010","description":"AMI: PT NOT DOC RECVD BB AT ARRIVAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMI:PT DOC RECVD BETABLCKR @ARR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8009","description":"AMI:PT DOC RECVD BETABLCKR @ARR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMMONIA TEST STRIPS FOR DIALYSIS PER 50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4774","description":"AMMONIA TEST STRIPS FOR DIALYSIS PER 50","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNICORE PRO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4298","description":"AMNICORE PRO PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNICORE PRO Plus  PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4299","description":"AMNICORE PRO Plus  PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO QUAD-CORE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4294","description":"AMNIO QUAD-CORE PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO TRI-CORE AMNIOTIC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4295","description":"AMNIO TRI-CORE AMNIOTIC PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO WOUND PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4181","description":"AMNIO WOUND PER SQUARE CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIO WRAP2 PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4221","description":"AMNIO WRAP2 PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOAMP-MP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4250","description":"AMNIOAMP-MP PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOARMOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4188","description":"AMNIOARMOR PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOBAND 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4168","description":"AMNIOBAND 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCYTE PLUS PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4242","description":"AMNIOCYTE PLUS PER 0.5 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOMATRIX OR BIODMATRIX INJECTABLE 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4139","description":"AMNIOMATRIX OR BIODMATRIX INJECTABLE 1 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNION BIO OR AXOBIOMEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4211","description":"AMNION BIO OR AXOBIOMEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTEXT PER CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4245","description":"AMNIOTEXT PER CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTIC MEMBRANE SURGICAL RECONSTRUCT PER PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2790","description":"AMNIOTIC MEMBRANE SURGICAL RECONSTRUCT PER PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9314","description":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANACAULASE-BCDB 8.8 PCT  GEL 1 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7353","description":"ANACAULASE-BCDB 8.8 PCT  GEL 1 GM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAL PROGRAM GAST NEUROSTIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0162T","description":"ANAL PROGRAM GAST NEUROSTIM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS CLINICAL DATA STORED IN COMPUTERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99090","description":"ANALYSIS CLINICAL DATA STORED IN COMPUTERS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS ONLY HEART SOUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0069T","description":"ANALYSIS ONLY HEART SOUND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS SALIVA SAMPLE LABORATORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0418","description":"ANALYSIS SALIVA SAMPLE LABORATORY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYZE HT PACE DEVICE DUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93743","description":"ANALYZE HT PACE DEVICE DUAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYZE HT PACE DEVICE DUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93744","description":"ANALYZE HT PACE DEVICE DUAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYZE HT PACE DEVICE SNGL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93741","description":"ANALYZE HT PACE DEVICE SNGL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYZE HT PACE DEVICE SNGL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93742","description":"ANALYZE HT PACE DEVICE SNGL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYZE ILR SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93727","description":"ANALYZE ILR SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYZE NEUROSTIM COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95973","description":"ANALYZE NEUROSTIM COMPLEX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYZE PACEMAKER SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93731","description":"ANALYZE PACEMAKER SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYZE PACEMAKER SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93732","description":"ANALYZE PACEMAKER SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYZE PACEMAKER SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93734","description":"ANALYZE PACEMAKER SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYZE PACEMAKER SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93735","description":"ANALYZE PACEMAKER SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANASTROZOLE ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0170","description":"ANASTROZOLE ORAL 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANATOMIC GUIDE 3D PRINTED 1ST ANATOMIC GUIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0561T","description":"ANATOMIC GUIDE 3D PRINTED 1ST ANATOMIC GUIDE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANATOMIC GUIDE 3D PRINTED EA ADDL ANATOMIC GUIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0562T","description":"ANATOMIC GUIDE 3D PRINTED EA ADDL ANATOMIC GUIDE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANATOMIC MODEL 3D PRINTED 1ST COMPNT ANTMC STRUX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0559T","description":"ANATOMIC MODEL 3D PRINTED 1ST COMPNT ANTMC STRUX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANATOMIC MODEL 3D PRINTED EA ADDL COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0560T","description":"ANATOMIC MODEL 3D PRINTED EA ADDL COMPONENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANCHOR/SCREW OPPOSING BN-TO-BN/SOFT TISSUE-TO-BN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1713","description":"ANCHOR/SCREW OPPOSING BN-TO-BN/SOFT TISSUE-TO-BN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COMP BY EMERGENCY CONDITIONS SPECIFY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99140","description":"ANES COMP BY EMERGENCY CONDITIONS SPECIFY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COMP BY UTILIZATION TOTAL BODY HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99116","description":"ANES COMP BY UTILIZATION TOTAL BODY HYPOTHERMIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANES COMP UTILIZATION CONTROLLED HYPOTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99135","description":"ANES COMP UTILIZATION CONTROLLED HYPOTENSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA EXTREME AGE PATIENT LT 1 YR and  GT 70","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99100","description":"ANESTHESIA EXTREME AGE PATIENT LT 1 YR and  GT 70","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANEURYSM MINOR DIAMETER  OVER 6CM FOR MEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8830","description":"ANEURYSM MINOR DIAMETER  OVER 6CM FOR MEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANEURYSM MINOR DIAMETER  OVER 6CM FOR WOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8831","description":"ANEURYSM MINOR DIAMETER  OVER 6CM FOR WOMEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANEURYSM MINOR DIAMETER 5.6-6.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8820","description":"ANEURYSM MINOR DIAMETER 5.6-6.0 CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANEURYSM MINOR DIAMETER 5.6-6.0CM FOR MEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8829","description":"ANEURYSM MINOR DIAMETER 5.6-6.0CM FOR MEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANEURYSM MINOR DIAMETER 5.6-6.0CM FOR WOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8832","description":"ANEURYSM MINOR DIAMETER 5.6-6.0CM FOR WOMEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANEURYSM MINOR DIAMETER LESS THN EQ 5.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8819","description":"ANEURYSM MINOR DIAMETER LESS THN EQ 5.5 CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANEURYSM MINOR DIAMETER LESS THN EQ 5.5CM FOR MEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8828","description":"ANEURYSM MINOR DIAMETER LESS THN EQ 5.5CM FOR MEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANEURYSM MINOR DIAMETER LESS THN EQ 5.5CM FOR WOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8827","description":"ANEURYSM MINOR DIAMETER LESS THN EQ 5.5CM FOR WOMEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANEURYSM MINOR DIAMETER LESS THN EQ 6 CM MEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8945","description":"ANEURYSM MINOR DIAMETER LESS THN EQ 6 CM MEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINA ASSESSED AS ABSENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8788","description":"ANGINA ASSESSED AS ABSENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGINA ASSESSED AS PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8787","description":"ANGINA ASSESSED AS PRESENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY CAROTID CEREBRAL BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75671","description":"ANGIOGRAPHY CAROTID CEREBRAL BILATERAL RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY CAROTID CEREBRAL UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75665","description":"ANGIOGRAPHY CAROTID CEREBRAL UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY CAROTID CERVICAL BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75680","description":"ANGIOGRAPHY CAROTID CERVICAL BILATERAL RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY CAROTID CERVICAL UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75676","description":"ANGIOGRAPHY CAROTID CERVICAL UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY CERVICOCEREBRAL CATHETER RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75650","description":"ANGIOGRAPHY CERVICOCEREBRAL CATHETER RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY EXTERNAL CAROTID BI SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75662","description":"ANGIOGRAPHY EXTERNAL CAROTID BI SLCTV RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY EXTERNAL CAROTID UNI SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75660","description":"ANGIOGRAPHY EXTERNAL CAROTID UNI SLCTV RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY VERTEBRAL CERVICAL  AND  INTRACRAN RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75685","description":"ANGIOGRAPHY VERTEBRAL CERVICAL  AND  INTRACRAN RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH RNL BI SLCTV W FLUSH AORTOGRAM RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75724","description":"ANGRPH RNL BI SLCTV W FLUSH AORTOGRAM RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH RNL UNI SLCTV W FLUSH AORTOGRAM RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75722","description":"ANGRPH RNL UNI SLCTV W FLUSH AORTOGRAM RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANIOGRAPHY BRACHIAL RETROGRADE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75658","description":"ANIOGRAPHY BRACHIAL RETROGRADE RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANK ORTHOTIC ELASTIC PREFAB INCLUDES FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1901","description":"ANK ORTHOTIC ELASTIC PREFAB INCLUDES FIT  and  ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL ALCOHOL MISUSE SCREENING 5 TO 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0442","description":"ANNUAL ALCOHOL MISUSE SCREENING 5 TO 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL FACE-TO-FACE OBESITY SCREENING, 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0449","description":"ANNUAL FACE-TO-FACE OBESITY SCREENING, 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL GYN EXAM CLIN BREAST EXAM W/O PELV EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0613","description":"ANNUAL GYN EXAM CLIN BREAST EXAM W/O PELV EVAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL GYNECOLOGICAL EXAMINATION EST PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0612","description":"ANNUAL GYNECOLOGICAL EXAMINATION EST PATIENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANNUAL GYNECOLOGICAL EXAMINATION NEW PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0610","description":"ANNUAL GYNECOLOGICAL EXAMINATION NEW PATIENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANORECTAL FISTULA PLUG RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0170T","description":"ANORECTAL FISTULA PLUG RPR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY HIGH RES;DX INCL CLCT SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6027","description":"ANOSCOPY HIGH RES;DX INCL CLCT SPEC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY HIGH RESOLUTION; W BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6028","description":"ANOSCOPY HIGH RESOLUTION; W BIOPSY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY HRA W BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0227T","description":"ANOSCOPY HRA W BIOPSY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY HRA W SPEC COLLECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0226T","description":"ANOSCOPY HRA W SPEC COLLECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W BULKING AGENT INJ FOR FECAL INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0377T","description":"ANOSCOPY W BULKING AGENT INJ FOR FECAL INCONT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W RF DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0288T","description":"ANOSCOPY W RF DELIVERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY; DIR SM INJ ANY SUBSTANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9735","description":"ANOSCOPY; DIR SM INJ ANY SUBSTANCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT LUMBAR/TLMBR VRT BODY TETHRG  LT 7VRT SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0656T","description":"ANT LUMBAR/TLMBR VRT BODY TETHRG  LT 7VRT SEG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT LUMBAR/TLMBR VRT BODY TETHRG 8 Plus VRT SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0657T","description":"ANT LUMBAR/TLMBR VRT BODY TETHRG 8 Plus VRT SEG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT SEGMENT INSERTION DRAINAGE W O RESERVOIR EXT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0192T","description":"ANT SEGMENT INSERTION DRAINAGE W O RESERVOIR EXT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTHRAX VACCINE SUBCUTANEOUS/IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90581","description":"ANTHRAX VACCINE SUBCUTANEOUS/IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LYMPHOGRANULOMA VENEREUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86729","description":"ANTIBODY LYMPHOGRANULOMA VENEREUM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TST FOR A PH REL PATHOGEN INCL COV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0605","description":"ANTIBODY TST FOR A PH REL PATHOGEN INCL COV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICOAGULANT MGMT OUTPATIENT EA SBSQ 90 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99364","description":"ANTICOAGULANT MGMT OUTPATIENT EA SBSQ 90 DAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICOAGULANT MGMT OUTPATIENT INIT 90 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99363","description":"ANTICOAGULANT MGMT OUTPATIENT INIT 90 DAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICOAGULAT CLIN INCL ALL SERV NO LAB PER SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9401","description":"ANTICOAGULAT CLIN INCL ALL SERV NO LAB PER SESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICOAGULATION NOT ORDERED REASON NOT SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8801","description":"ANTICOAGULATION NOT ORDERED REASON NOT SPECIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTICOAGULATION ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8799","description":"ANTICOAGULATION ORDERED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80338","description":"ANTIDEPRESSANTS NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS SEROTONERGIC CLASS 1 OR 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80332","description":"ANTIDEPRESSANTS SEROTONERGIC CLASS 1 OR 2","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS SEROTONERGIC CLASS 3-5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80333","description":"ANTIDEPRESSANTS SEROTONERGIC CLASS 3-5","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS SEROTONERGIC CLASS 6 OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80334","description":"ANTIDEPRESSANTS SEROTONERGIC CLASS 6 OR MORE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80335","description":"ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 3-5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80336","description":"ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 3-5","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 6/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80337","description":"ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 6/MORE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIEMETIC DRUG ORAL NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8597","description":"ANTIEMETIC DRUG ORAL NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIEMETIC DRUG RECTAL/SUPPOSITORY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8498","description":"ANTIEMETIC DRUG RECTAL/SUPPOSITORY NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 1-3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80339","description":"ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 1-3","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 4-6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80340","description":"ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 4-6","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 7/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80341","description":"ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 7/MORE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIGEN TESTING FOR PH RELATED PATHOGEN INCL COV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0604","description":"ANTIGEN TESTING FOR PH RELATED PATHOGEN INCL COV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTILIPID TREATMENT AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8585","description":"ANTILIPID TREATMENT AT DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTILIPID TREATMENT CONTRAINDICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8586","description":"ANTILIPID TREATMENT CONTRAINDICATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPLATELET MED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8579","description":"ANTIPLATELET MED AT DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPLATELET MED CONTRAINDICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8580","description":"ANTIPLATELET MED CONTRAINDICATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPLATELET TX AND  CLOPIDOGREL W I 48 HR SURG AND D C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8521","description":"ANTIPLATELET TX AND  CLOPIDOGREL W I 48 HR SURG AND D C","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPLATLT TX NOT RECV 48 HR PRIOR CES  AND  D C RNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8523","description":"ANTIPLATLT TX NOT RECV 48 HR PRIOR CES  AND  D C RNS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPROTHROMBIN ANTIBODY EACH IG CLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0030T","description":"ANTIPROTHROMBIN ANTIBODY EACH IG CLASS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 1-3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80342","description":"ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 1-3","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 4-6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80343","description":"ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 4-6","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 7/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80344","description":"ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 7/MORE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIRETROVIRAL THERAPY PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9245","description":"ANTIRETROVIRAL THERAPY PRESCRIBED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIRETROVIRAL THEREAPY NOT PRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9244","description":"ANTIRETROVIRAL THEREAPY NOT PRSC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTISPERM ANTIBODIES TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3655","description":"ANTISPERM ANTIBODIES TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTITHROMBOTIC THERAPY PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8696","description":"ANTITHROMBOTIC THERAPY PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTITHROMBOTIC TX NOT PRESCRIBED DOC REASONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8697","description":"ANTITHROMBOTIC TX NOT PRESCRIBED DOC REASONS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTITHROMBOTIC TX WAS NOT PRSC D C REASON NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8698","description":"ANTITHROMBOTIC TX WAS NOT PRSC D C REASON NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PT HAD NO ASTHMA CONTR MED DISP DUR MSR YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9808","description":"ANY PT HAD NO ASTHMA CONTR MED DISP DUR MSR YR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APC GENE MRNA SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0157U","description":"APC GENE MRNA SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APNEA MONITOR WITH RECORDING FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0619","description":"APNEA MONITOR WITH RECORDING FEATURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APOL1 RISK VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0355U","description":"APOL1 RISK VARIANTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MLTLAYR COMPRES SYSTEM UPPER  AND  LOWER ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29583","description":"APPL MLTLAYR COMPRES SYSTEM UPPER  AND  LOWER ARM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MLTLAYR COMPRES THGH LEG ANKLE FT WHEN DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29582","description":"APPL MLTLAYR COMPRES THGH LEG ANKLE FT WHEN DONE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLIC DESENZT RSN CERV  AND OR ROOT SURF-TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9911","description":"APPLIC DESENZT RSN CERV  AND OR ROOT SURF-TOOTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLIC MODAL 1/MORE AREAS; LW-LEVL LASR; EA 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8948","description":"APPLIC MODAL 1/MORE AREAS; LW-LEVL LASR; EA 15 M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CARIES ARREST MEDICAMENT-PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1354","description":"APPLICATION CARIES ARREST MEDICAMENT-PER TOOTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION OF BODY CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29020","description":"APPLICATION OF BODY CAST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION OF BODY CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29025","description":"APPLICATION OF BODY CAST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION OF DESENSITIZING MEDICAMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9910","description":"APPLICATION OF DESENSITIZING MEDICAMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION OF HAP REGEN MEDICAMENT PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2991","description":"APPLICATION OF HAP REGEN MEDICAMENT PER TOOTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION OF SURFACE NEUROSTIMULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64550","description":"APPLICATION OF SURFACE NEUROSTIMULATOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLY INTERSTIT RADIAT INTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77777","description":"APPLY INTERSTIT RADIAT INTER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLY INTERSTIT RADIAT SIMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77776","description":"APPLY INTERSTIT RADIAT SIMPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLY SPINE PROSTH DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22851","description":"APPLY SPINE PROSTH DEVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQMBF SPECT W/EXERCISE/RX STRESS  and  REST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0742T","description":"AQMBF SPECT W/EXERCISE/RX STRESS  and  REST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQU CANAL DILAT W O RETENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0176T","description":"AQU CANAL DILAT W O RETENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AQU CANAL DILAT W RETENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0177T","description":"AQU CANAL DILAT W RETENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AREDS ANITOX VIT MIN RX'D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4007F","description":"AREDS ANITOX VIT MIN RX'D","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT AC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4189","description":"ARTACENT AC 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4190","description":"ARTACENT AC PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTACENT CORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4216","description":"ARTACENT CORD PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTERY TO VEIN SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36145","description":"ARTERY TO VEIN SHUNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTFICL LARYNX REPLCMT BATTRY/ACCESS ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8505","description":"ARTFICL LARYNX REPLCMT BATTRY/ACCESS ANY TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD SI JT PERQ IMG GDN INCL PLMT IARTIC IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0775T","description":"ARTHRD SI JT PERQ IMG GDN INCL PLMT IARTIC IMPLT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD SI JT PERQ PLMT TFX DEV  and  I-ARTIC IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0809T","description":"ARTHRD SI JT PERQ PLMT TFX DEV  and  I-ARTIC IMPLT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPJS W/WITHOUT INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7506","description":"ARTHRODESIS IPJS W/WITHOUT INTERNAL FIXATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PRESACRAL INTRBDY W INSTRUMENT L4 L5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0309T","description":"ARTHRODESIS PRESACRAL INTRBDY W INSTRUMENT L4 L5","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PRESACRAL INTRBDY W O INSTRUM L4 L5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0196T","description":"ARTHRODESIS PRESACRAL INTRBDY W O INSTRUM L4 L5","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PRESACRAL INTRBDY W O INSTRUM L5 S1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0195T","description":"ARTHRODESIS PRESACRAL INTRBDY W O INSTRUM L5 S1","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROEREISIS SUBTALAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2117","description":"ARTHROEREISIS SUBTALAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROFLEX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4125","description":"ARTHROFLEX PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPE SHLDR SURG; W/THERML-INDUCD CPSLORR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2300","description":"ARTHROSCOPE SHLDR SURG; W/THERML-INDUCD CPSLORR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURGICAL HARVESTING CARTILAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2112","description":"ARTHROSCOPY KNEE SURGICAL HARVESTING CARTILAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURG; TENODESIS OF BICEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2114","description":"ARTHROSCOPY SHOULDER SURG; TENODESIS OF BICEPS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURG; W/IMP SA SPACER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9781","description":"ARTHROSCOPY SHOULDER SURG; W/IMP SA SPACER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY: DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7877","description":"ARTHROSCOPY: DEBRIDEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY: DISC REPOSITIONING  AND  STABILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7874","description":"ARTHROSCOPY: DISC REPOSITIONING  AND  STABILIZATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY: DISCECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7876","description":"ARTHROSCOPY: DISCECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY: LAVAGE AND LYSIS OF ADHESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7873","description":"ARTHROSCOPY: LAVAGE AND LYSIS OF ADHESIONS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY: SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7875","description":"ARTHROSCOPY: SYNOVECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTIF PANCREAS DEVC SYS THAT CMNCT W/ALL DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1034","description":"ARTIF PANCREAS DEVC SYS THAT CMNCT W/ALL DEVC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFIC DISC ADDL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0092T","description":"ARTIFIC DISC ADDL CERVICAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASCENDING AORTA GRF W CARD BYP  AND  VALVE SSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33860","description":"ASCENDING AORTA GRF W CARD BYP  AND  VALVE SSP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASCENDING AORTIC GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33861","description":"ASCENDING AORTIC GRAFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8958","description":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASMT DEPR SEV NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8931","description":"ASMT DEPR SEV NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATE INJECT THYRIOD CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60001","description":"ASPIRATE INJECT THYRIOD CYST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN NOT PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9437","description":"ASPIRIN NOT PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRIN NOT PRESCRIBED FOR DOC RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9436","description":"ASPIRIN NOT PRESCRIBED FOR DOC RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9435","description":"ASPIRIN PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY AMPHETAMINE METHAMPHETAMINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6042","description":"ASSAY AMPHETAMINE METHAMPHETAMINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ACETAMINOPHEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82003","description":"ASSAY OF ACETAMINOPHEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ACETAMINOPHEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6039","description":"ASSAY OF ACETAMINOPHEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALCOHOL; ANY SPEC EXC BRTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6040","description":"ASSAY OF ALCOHOL; ANY SPEC EXC BRTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF AMITRIPTYLINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80152","description":"ASSAY OF AMITRIPTYLINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF AMITRIPTYLINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6030","description":"ASSAY OF AMITRIPTYLINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF AMPHETAMINES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82145","description":"ASSAY OF AMPHETAMINES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF BARBITURATES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82205","description":"ASSAY OF BARBITURATES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF BARBITURATES NES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6043","description":"ASSAY OF BARBITURATES NES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF BENZODIAZEPINES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80154","description":"ASSAY OF BENZODIAZEPINES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF BENZODIAZEPINES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6031","description":"ASSAY OF BENZODIAZEPINES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF BLOOD ACETALDEHYDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82000","description":"ASSAY OF BLOOD ACETALDEHYDE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF COCAINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82520","description":"ASSAY OF COCAINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF COCAINE OR METABOLITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6044","description":"ASSAY OF COCAINE OR METABOLITE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DESIPRAMINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80160","description":"ASSAY OF DESIPRAMINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DESIPRAMINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6032","description":"ASSAY OF DESIPRAMINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DIHYDROCODEINONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82646","description":"ASSAY OF DIHYDROCODEINONE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DIHYDROCODEINONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6045","description":"ASSAY OF DIHYDROCODEINONE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DIHYDROMORPHINONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82649","description":"ASSAY OF DIHYDROMORPHINONE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DIHYDROMORPHINONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6046","description":"ASSAY OF DIHYDROMORPHINONE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DIHYDROTESTOSTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82651","description":"ASSAY OF DIHYDROTESTOSTERONE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DIHYDROTESTOSTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6047","description":"ASSAY OF DIHYDROTESTOSTERONE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DIMETHADIONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82654","description":"ASSAY OF DIMETHADIONE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DIMETHADIONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6048","description":"ASSAY OF DIMETHADIONE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DOXEPIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80166","description":"ASSAY OF DOXEPIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DOXEPIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6034","description":"ASSAY OF DOXEPIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF EPIANDROSTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82666","description":"ASSAY OF EPIANDROSTERONE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF EPIANDROSTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6049","description":"ASSAY OF EPIANDROSTERONE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ETHANOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82055","description":"ASSAY OF ETHANOL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ETHCHLORVYNOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82690","description":"ASSAY OF ETHCHLORVYNOL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ETHCHLORVYNOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6050","description":"ASSAY OF ETHCHLORVYNOL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FECES PORPHYRINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84127","description":"ASSAY OF FECES PORPHYRINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FLURAZEPAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82742","description":"ASSAY OF FLURAZEPAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FLURAZEPAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6051","description":"ASSAY OF FLURAZEPAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GASTRIC ACID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82926","description":"ASSAY OF GASTRIC ACID","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GASTRIC ACID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82928","description":"ASSAY OF GASTRIC ACID","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTAMINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82975","description":"ASSAY OF GLUTAMINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTETHIMIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82980","description":"ASSAY OF GLUTETHIMIDE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80172","description":"ASSAY OF GOLD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6035","description":"ASSAY OF GOLD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GUANOSINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83008","description":"ASSAY OF GUANOSINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HEMOSIDERIN QUANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83071","description":"ASSAY OF HEMOSIDERIN QUANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYPROGESTERONE 20-","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83499","description":"ASSAY OF HYDROXYPROGESTERONE 20-","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF IMIPRAMINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80174","description":"ASSAY OF IMIPRAMINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF IMIPRAMINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6036","description":"ASSAY OF IMIPRAMINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MEPROBAMATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83805","description":"ASSAY OF MEPROBAMATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MEPROBAMATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6052","description":"ASSAY OF MEPROBAMATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF METHADONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83840","description":"ASSAY OF METHADONE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF METHADONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6053","description":"ASSAY OF METHADONE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF METHSUXIMIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83858","description":"ASSAY OF METHSUXIMIDE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF METHSUXIMIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6054","description":"ASSAY OF METHSUXIMIDE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF NICOTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83887","description":"ASSAY OF NICOTINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF NICOTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6055","description":"ASSAY OF NICOTINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF NORTRIPTYLINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80182","description":"ASSAY OF NORTRIPTYLINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF NORTRIPTYLINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6037","description":"ASSAY OF NORTRIPTYLINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OPIATES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83925","description":"ASSAY OF OPIATES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHENCYCLIDINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83992","description":"ASSAY OF PHENCYCLIDINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHENOTHIAZINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84022","description":"ASSAY OF PHENOTHIAZINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHENOTHIAZINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6057","description":"ASSAY OF PHENOTHIAZINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SALICYLATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80196","description":"ASSAY OF SALICYLATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SALICYLATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6038","description":"ASSAY OF SALICYLATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF URINE ALKALOIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82101","description":"ASSAY OF URINE ALKALOIDS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF URINE FOR LACTOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83634","description":"ASSAY OF URINE FOR LACTOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VITAMIN D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82307","description":"ASSAY OF VITAMIN D","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 30 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99192","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 30 MI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 45 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99191","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 45 MI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH EA HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99190","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH EA HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSERTIVE COMMUNITY TREATMENT PROGRAM PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0040","description":"ASSERTIVE COMMUNITY TREATMENT PROGRAM PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSERTIVE COMMUNITY TX FACE-TO-FACE PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0039","description":"ASSERTIVE COMMUNITY TX FACE-TO-FACE PER 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESS OF DEP @ INITIAL EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8930","description":"ASSESS OF DEP @ INITIAL EVAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSED LEVEL OF ACTIVITY AND SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0911","description":"ASSESSED LEVEL OF ACTIVITY AND SYMPTOMS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT FOR HEARING AID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5010","description":"ASSESSMENT FOR HEARING AID","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT OF A PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0191","description":"ASSESSMENT OF A PATIENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT OF SALIVARY FLOW BY MEASUREMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0419","description":"ASSESSMENT OF SALIVARY FLOW BY MEASUREMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSIST LIST DEVC PERS FM/DM ADPTR/BOOT CPLG RECV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5289","description":"ASSIST LIST DEVC PERS FM/DM ADPTR/BOOT CPLG RECV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSIST LIST DEVC PERS FM/DM DIR AUDIO INPUT RECV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5285","description":"ASSIST LIST DEVC PERS FM/DM DIR AUDIO INPUT RECV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSIST LIST DEVC PERS FM/DM NCK LOOP INDUCT RECV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5283","description":"ASSIST LIST DEVC PERS FM/DM NCK LOOP INDUCT RECV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSIST LIST DEVC PERS FM/DM SYS BINAURL ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5282","description":"ASSIST LIST DEVC PERS FM/DM SYS BINAURL ANY TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSIST LIST DEVC PERS FM/DM SYS MONAURL ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5281","description":"ASSIST LIST DEVC PERS FM/DM SYS MONAURL ANY TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSIST LIST DEVICE PERS FM/DM EAR LEVEL RECEIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5284","description":"ASSIST LIST DEVICE PERS FM/DM EAR LEVEL RECEIVER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSIST LISTEN DEVC PERS BLUE TOOTH FM/DM RECEIVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5286","description":"ASSIST LISTEN DEVC PERS BLUE TOOTH FM/DM RECEIVR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSIST LISTEN DEVC PERS FM/DM TRANSMITTER ALD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5288","description":"ASSIST LISTEN DEVC PERS FM/DM TRANSMITTER ALD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSIST LISTEN DEVC TRANSMITT MICROPHONE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5290","description":"ASSIST LISTEN DEVC TRANSMITT MICROPHONE ANY TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSISTED LIVING WAIVER; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2031","description":"ASSISTED LIVING WAIVER; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSISTED LIVING WAIVER; PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2030","description":"ASSISTED LIVING WAIVER; PER MONTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSISTED OOCYTE FERTILIZATION CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4022","description":"ASSISTED OOCYTE FERTILIZATION CASE RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSISTIVE LEARNING DEVICE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5274","description":"ASSISTIVE LEARNING DEVICE NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSISTIVE LISTENING DEVC PERS FM/DM RECEIVER NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5287","description":"ASSISTIVE LISTENING DEVC PERS FM/DM RECEIVER NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSISTIVE LISTENING DEVICE ALERTING ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5269","description":"ASSISTIVE LISTENING DEVICE ALERTING ANY TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSISTIVE LISTENING DEVICE TDD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5272","description":"ASSISTIVE LISTENING DEVICE TDD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTD EMBRYO HATCHING MICROTQS ANY METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89253","description":"ASSTD EMBRYO HATCHING MICROTQS ANY METH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTD FERTILIZATION MICROTQ  GT  10 OOCYTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89281","description":"ASSTD FERTILIZATION MICROTQ  GT  10 OOCYTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTD FERTILIZATION MICROTQ  LT or equal to  10 OOCYTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89280","description":"ASSTD FERTILIZATION MICROTQ  LT or equal to  10 OOCYTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTIVE LISTENING DEVC TELEVISN CAPTION DECODER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5271","description":"ASSTIVE LISTENING DEVC TELEVISN CAPTION DECODER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTIVE LISTENING DEVICE TEL AMPLIFIER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5268","description":"ASSTIVE LISTENING DEVICE TEL AMPLIFIER ANY TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTIVE LISTENING DEVICE TELEVISN AMPLIFIER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5270","description":"ASSTIVE LISTENING DEVICE TELEVISN AMPLIFIER TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTIVE LISTENING DEVICE USE W/COCHLEAR IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5273","description":"ASSTIVE LISTENING DEVICE USE W/COCHLEAR IMPLANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTV ALG ECG RSK-BASED ASSMT RELATED CNCRT ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0764T","description":"ASSTV ALG ECG RSK-BASED ASSMT RELATED CNCRT ECG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTV ALG ECG RSK-BASED ASSMT RELATED PREV ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0765T","description":"ASSTV ALG ECG RSK-BASED ASSMT RELATED PREV ECG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA ED NON-PHYSICIAN PROVIDER PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9441","description":"ASTHMA ED NON-PHYSICIAN PROVIDER PER SESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTHMA KIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8097","description":"ASTHMA KIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PT FREQ SYMP ASSESS NOT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8370","description":"ASTHMA PT FREQ SYMP ASSESS NOT DOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASTIGMATISM CORRECTING FUNCTION INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2787","description":"ASTIGMATISM CORRECTING FUNCTION INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASYMPTOMATIC PATIENT NO HISTORY TIA OR STROKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8835","description":"ASYMPTOMATIC PATIENT NO HISTORY TIA OR STROKE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 REST CARDIO GAS REBREATHE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0104T","description":"AT REST CARDIO GAS REBREATHE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHERECTOMY, OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35480","description":"ATHERECTOMY, OPEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHERECTOMY, OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35481","description":"ATHERECTOMY, OPEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHERECTOMY, OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35482","description":"ATHERECTOMY, OPEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHERECTOMY, OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35483","description":"ATHERECTOMY, OPEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHERECTOMY, OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35484","description":"ATHERECTOMY, OPEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHERECTOMY, OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35485","description":"ATHERECTOMY, OPEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHERECTOMY, PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35490","description":"ATHERECTOMY, PERCUTANEOUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHERECTOMY, PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35491","description":"ATHERECTOMY, PERCUTANEOUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHERECTOMY, PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35492","description":"ATHERECTOMY, PERCUTANEOUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHERECTOMY, PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35493","description":"ATHERECTOMY, PERCUTANEOUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHERECTOMY, PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35494","description":"ATHERECTOMY, PERCUTANEOUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHERECTOMY, PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35495","description":"ATHERECTOMY, PERCUTANEOUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHERECTOMY, X-RAY EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75992","description":"ATHERECTOMY, X-RAY EXAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHERECTOMY, X-RAY EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75993","description":"ATHERECTOMY, X-RAY EXAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHERECTOMY, X-RAY EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75994","description":"ATHERECTOMY, X-RAY EXAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHERECTOMY, X-RAY EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75995","description":"ATHERECTOMY, X-RAY EXAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHERECTOMY, X-RAY EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75996","description":"ATHERECTOMY, X-RAY EXAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHLETIC TRAIN EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97005","description":"ATHLETIC TRAIN EVAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHLETIC TRAIN REEVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97006","description":"ATHLETIC TRAIN REEVAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHLETIC TRAINING EVAL HIGH COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97171","description":"ATHLETIC TRAINING EVAL HIGH COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHLETIC TRAINING EVAL LOW COMPLEX 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97169","description":"ATHLETIC TRAINING EVAL LOW COMPLEX 15 MINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHLETIC TRAINING EVAL MOD COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97170","description":"ATHLETIC TRAINING EVAL MOD COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATHLETIC TRAINING RE-EVAL EST PLAN CARE 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97172","description":"ATHLETIC TRAINING RE-EVAL EST PLAN CARE 20 MINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATROPINE INHAL COMP PROD UNIT DOSE FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7636","description":"ATROPINE INHAL COMP PROD UNIT DOSE FORM PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATROPINE INHAL SOL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7635","description":"ATROPINE INHAL SOL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATTENDANCE, BIRTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99436","description":"ATTENDANCE, BIRTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATTENDANT CARE SERVICES; PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5125","description":"ATTENDANT CARE SERVICES; PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATTENDANT CARE SERVICES; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5126","description":"ATTENDANT CARE SERVICES; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATTENTION FUNC SCORE AT DISCH HIGHER THAN ADMIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8606","description":"ATTENTION FUNC SCORE AT DISCH HIGHER THAN ADMIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATTENTION SCORE AT DISCH NOT HIGHR, NO REAS SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8607","description":"ATTENTION SCORE AT DISCH NOT HIGHR, NO REAS SPEC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATTN FUNCT LIMIT CURR STATUS TX EPISODE OUTSET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9165","description":"ATTN FUNCT LIMIT CURR STATUS TX EPISODE OUTSET","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATTN FUNCT LIMIT DISCHARGE STATUS AT D C FROM TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9167","description":"ATTN FUNCT LIMIT DISCHARGE STATUS AT D C FROM TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATTN FUNCT LIMIT PROJ GOAL STATUS TX EPIS OUTSET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9166","description":"ATTN FUNCT LIMIT PROJ GOAL STATUS TX EPIS OUTSET","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDIOMETRIC TESTING GROUPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92559","description":"AUDIOMETRIC TESTING GROUPS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDIOMETRY FOR HEARING AID EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0618","description":"AUDIOMETRY FOR HEARING AID EVALUATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDITORY EVOKED POTENTIALS COMPREHENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92585","description":"AUDITORY EVOKED POTENTIALS COMPREHENSIVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDITORY EVOKED POTENTIALS LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92586","description":"AUDITORY EVOKED POTENTIALS LIMITED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDITORY REHABILITATION POSTLINGUAL HEARING LOSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92633","description":"AUDITORY REHABILITATION POSTLINGUAL HEARING LOSS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUDITORY REHABILITATION PRELINGUAL HEARING LOSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92630","description":"AUDITORY REHABILITATION PRELINGUAL HEARING LOSS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUGMENTATIVE AI-BASED FACIAL PHENOTYPE A/R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0731T","description":"AUGMENTATIVE AI-BASED FACIAL PHENOTYPE A/R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AURICULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5914","description":"AURICULAR PROSTHESIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AURICULAR PROSTHESIS REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5927","description":"AURICULAR PROSTHESIS REPLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTO ALYS XST CT VRT FX ASMT B1 DNS DATA PRP I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0691T","description":"AUTO ALYS XST CT VRT FX ASMT B1 DNS DATA PRP I and R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTO HANDHELD DIAGNOSTIC NERVE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3905","description":"AUTO HANDHELD DIAGNOSTIC NERVE TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTO INTERMITTENT PERITONEAL DIALYSIS SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1592","description":"AUTO INTERMITTENT PERITONEAL DIALYSIS SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGENOUS AV FISTULA RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8530","description":"AUTOGENOUS AV FISTULA RECEIVED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20936","description":"AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86890","description":"AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOL BLD/COMPONENT COLLJ STORAGE SALVAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86891","description":"AUTOL BLD/COMPONENT COLLJ STORAGE SALVAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOL CELL IMPLT ADPS TISS HRVG CELL IMPLT CRTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0565T","description":"AUTOL CELL IMPLT ADPS TISS HRVG CELL IMPLT CRTJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOL CELL IMPLT ADPS TISS NJX IMPLT KNEE UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0566T","description":"AUTOL CELL IMPLT ADPS TISS NJX IMPLT KNEE UNI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOL REGN CELL TX SCLDR MLT INJ 1 OR GT  HANDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0490T","description":"AUTOL REGN CELL TX SCLDR MLT INJ 1 OR GT  HANDS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOL REGN CELL TX SCLERODERMA HANDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0489T","description":"AUTOL REGN CELL TX SCLERODERMA HANDS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOG PRP/OTH BLD-DERIV PROD DB CW FDA-CL DVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0465","description":"AUTOLOG PRP/OTH BLD-DERIV PROD DB CW FDA-CL DVC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7330","description":"AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOLOGOUS PRP/OTH BLD-DERIV PROD ND CW/U PER TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0460","description":"AUTOLOGOUS PRP/OTH BLD-DERIV PROD ND CW/U PER TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOMATED EEG MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9015","description":"AUTOMATED EEG MONITORING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOMATIC BLOOD PRESSURE MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4670","description":"AUTOMATIC BLOOD PRESSURE MONITOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AV DIALYSIS SHUNT IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75791","description":"AV DIALYSIS SHUNT IMAGING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXOLOTL AMBIENT OR AXOLOTL CRYO 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4215","description":"AXOLOTL AMBIENT OR AXOLOTL CRYO 0.1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AZTREONAM INHAL SOL THRU DME CONC FORM-PER GRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0143","description":"AZTREONAM INHAL SOL THRU DME CONC FORM-PER GRAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Acoustic reflex decay test","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92569","description":"Acoustic reflex decay test","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"B1 STR  and  FX RISK ASSESSMENT USING DXR-BMD ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0749T","description":"B1 STR  and  FX RISK ASSESSMENT USING DXR-BMD ALYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"B1 STR and FX RSK ASSMT DXR-BMD ALYS W/1VW XRAY HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0750T","description":"B1 STR and FX RSK ASSMT DXR-BMD ALYS W/1VW XRAY HAND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK CONTOURED PED WC INCL FIX ATTCH HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2293","description":"BACK CONTOURED PED WC INCL FIX ATTCH HARDWARE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PAIN MSR BY VAS W I 3 MO PRE  AND  AT 1 YR P O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9944","description":"BACK PAIN MSR BY VAS W I 3 MO PRE  AND  AT 1 YR P O","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK PAIN MSR BY VAS W I 3 MO PRE  AND  AT 3 MO P O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9941","description":"BACK PAIN MSR BY VAS W I 3 MO PRE  AND  AT 3 MO P O","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2291","description":"BACK PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK SCHOOL PER VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9117","description":"BACK SCHOOL PER VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACKBENCH PREP CDVR/LIV DONOR UTERINE ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0668T","description":"BACKBENCH PREP CDVR/LIV DONOR UTERINE ALLOGRAFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65757","description":"BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALLISTOCARDIOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3902","description":"BALLISTOCARDIOGRAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BALLOON DILAT INTRACRANIAL VASOSPASM PRQ INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61640","description":"BALLOON DILAT INTRACRANIAL VASOSPASM PRQ INITIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BAND STABILIZATION-PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2976","description":"BAND STABILIZATION-PER TOOTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC LIFE AND/OR DISABILITY EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99450","description":"BASIC LIFE AND/OR DISABILITY EXAMINATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATH CONDUCTIVITY METER FOR HEMODIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1550","description":"BATH CONDUCTIVITY METER FOR HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATH/SHOWER CHAIR W/WO WHEELS ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0240","description":"BATH/SHOWER CHAIR W/WO WHEELS ANY SIZE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATHTUB RAIL FLOOR BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0242","description":"BATHTUB RAIL FLOOR BASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATHTUB WALL RAIL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0241","description":"BATHTUB WALL RAIL EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4612","description":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4613","description":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4611","description":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCG PER INSTILLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9031","description":"BCG PER INSTILLATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCKBNCH RCNSTJ CDVR/LIV DON UTER ALGRFT ART ANST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0670T","description":"BCKBNCH RCNSTJ CDVR/LIV DON UTER ALGRFT ART ANST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCKBNCH RCNSTJ CDVR/LIV DON UTER ALGRFT VEN ANST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0669T","description":"BCKBNCH RCNSTJ CDVR/LIV DON UTER ALGRFT VEN ANST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BDY SURF ACTIVATION MAPG PM/CVDFB LEADS TM F/UP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0696T","description":"BDY SURF ACTIVATION MAPG PM/CVDFB LEADS TM F/UP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BDY SURF ACTIVATION MAPG PM/CVDFB LEADS TM IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0695T","description":"BDY SURF ACTIVATION MAPG PM/CVDFB LEADS TM IMPLT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7622","description":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BED ACCESS: BOARD TABLE/SUPPORT DEVICE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0315","description":"BED ACCESS: BOARD TABLE/SUPPORT DEVICE ANY TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BED BOARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0273","description":"BED BOARD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAV ASSMT W/SCORE  and  DOCD/STAND INSTRUMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96127","description":"BEHAV ASSMT W/SCORE  and  DOCD/STAND INSTRUMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIOR ID ASSESSMENT BY PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97151","description":"BEHAVIOR ID ASSESSMENT BY PHYS/QHP EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIOR ID SUPPORT ASSMT BY 1 TECH EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97152","description":"BEHAVIOR ID SUPPORT ASSMT BY 1 TECH EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIOR ID SUPPORT ASSMT EA 15 MIN TECH TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0362T","description":"BEHAVIOR ID SUPPORT ASSMT EA 15 MIN TECH TIME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIOR MANAGEMENT BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9920","description":"BEHAVIOR MANAGEMENT BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIOR TREATMENT SOCIAL SKILLS TRAINING GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0372T","description":"BEHAVIOR TREATMENT SOCIAL SKILLS TRAINING GROUP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIOR TREATMENT WITH MODIFICATION ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0369T","description":"BEHAVIOR TREATMENT WITH MODIFICATION ADDL 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIOR TX WITH MODIFICATION FIRST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0368T","description":"BEHAVIOR TX WITH MODIFICATION FIRST 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL CNSLG DIABETES PREV DL 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9887","description":"BEHAVIORAL CNSLG DIABETES PREV DL 60 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL CNSLG DIABETES PREV IP GROUP 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9886","description":"BEHAVIORAL CNSLG DIABETES PREV IP GROUP 60 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL HEALTH DAY TREATMENT PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2012","description":"BEHAVIORAL HEALTH DAY TREATMENT PER HOUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL HEALTH HOTLINE SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0030","description":"BEHAVIORAL HEALTH HOTLINE SERVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL HEALTH OUTREACH SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0023","description":"BEHAVIORAL HEALTH OUTREACH SERVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL HEALTH PREV INFORM DISSEMIN SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0024","description":"BEHAVIORAL HEALTH PREV INFORM DISSEMIN SERVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL HEALTH; RES W/O ROOM and BOARD PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0017","description":"BEHAVIORAL HEALTH; RES W/O ROOM and BOARD PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIORAL IDENTIFICATION ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0359T","description":"BEHAVIORAL IDENTIFICATION ASSESSMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEKESY AUDIOMETRY DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92561","description":"BEKESY AUDIOMETRY DIAGNOSTIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEKESY AUDIOMETRY SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92560","description":"BEKESY AUDIOMETRY SCREENING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELIMUMAB INJECTION, 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2044","description":"BELIMUMAB INJECTION, 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELLACELL HD OR SUREDERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4220","description":"BELLACELL HD OR SUREDERM PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4467","description":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA AMYLOID AB42/40 IMPRCIP QUAN LC-MS/MS ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0412U","description":"BETA AMYLOID AB42/40 IMPRCIP QUAN LC-MS/MS ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4115F","description":"BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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-BLKER THER PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4006F","description":"BETA-BLKER THER PRESCRIBED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8582","description":"BETA-BLOCKER AT DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-BLOCKER CONTRA NOT INDICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8583","description":"BETA-BLOCKER CONTRA NOT INDICATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETAMETHASONE INHAL CP PROD DME UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7624","description":"BETAMETHASONE INHAL CP PROD DME UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BHVAL HEALTH SCR DETERM ELIGBLITY ADMIS TX PROGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0002","description":"BHVAL HEALTH SCR DETERM ELIGBLITY ADMIS TX PROGM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BHVAL HEALTH; LONG-TERM CARE RES W/ROOM and BD-DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2048","description":"BHVAL HEALTH; LONG-TERM CARE RES W/ROOM and BD-DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BHVAL HEALTH; SHORT-TERM RES W/O ROOM and BOARD-DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0018","description":"BHVAL HEALTH; SHORT-TERM RES W/O ROOM and BOARD-DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BI PROC NYHA CL III/IV HF;TRNSCATH IMPL IAS/PC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9758","description":"BI PROC NYHA CL III/IV HF;TRNSCATH IMPL IAS/PC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BICARBONATE CONCENTRATE POWDER HEMODIAL-PACKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4707","description":"BICARBONATE CONCENTRATE POWDER HEMODIAL-PACKET","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BICARBONATE CONCENTRATE SOL HEMODIAL PER GALLON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4706","description":"BICARBONATE CONCENTRATE SOL HEMODIAL PER GALLON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIFOCAL VISION PRESCRIPTION LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0506","description":"BIFOCAL VISION PRESCRIPTION LENS PER LENS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIL HKAFO DEVC PWR INCL PELV COMP UP KNEE JOINTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1007","description":"BIL HKAFO DEVC PWR INCL PELV COMP UP KNEE JOINTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN TOTAL TRANSCUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88400","description":"BILIRUBIN TOTAL TRANSCUT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5140","description":"BINAURAL BEHIND THE EAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5120","description":"BINAURAL BODY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5150","description":"BINAURAL GLASSES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL IN THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5130","description":"BINAURAL IN THE EAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIO-CONNEKT WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2003","description":"BIO-CONNEKT WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4161","description":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOFDBK TRNG PERINL MUSC ANORECT URO SPHX W EMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90911","description":"BIOFDBK TRNG PERINL MUSC ANORECT URO SPHX W EMG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOIMPEDANCE SPECTROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0239T","description":"BIOIMPEDANCE SPECTROSCOPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOLOGIC IMMUNE RESPONSE MODIFIER PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9506","description":"BIOLOGIC IMMUNE RESPONSE MODIFIER PRESCRIBED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIONEXTPATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4228","description":"BIONEXTPATCH PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BREAST NEEDLE CORE W IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19102","description":"BIOPSY BREAST NEEDLE CORE W IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY HYPOPHARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42802","description":"BIOPSY HYPOPHARYNX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32405","description":"BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OF STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43600","description":"BIOPSY OF STOMACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PLEURA OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32402","description":"BIOPSY PLEURA OPEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY RESULTS NOT REVIEW COMMUNICATE TRACK/DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8885","description":"BIOPSY RESULTS NOT REVIEW COMMUNICATE TRACK/DOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY RESULTS REVIEW COMMUNICATED TRACKED  AND  DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8883","description":"BIOPSY RESULTS REVIEW COMMUNICATED TRACKED  AND  DOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SKIN SUBQ AND  MUCOUS MEMBRANE EA ADDL LESN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11101","description":"BIOPSY SKIN SUBQ AND  MUCOUS MEMBRANE EA ADDL LESN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIRTHING CLASSES NON-PHYSICIAN PROVIDER-SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9442","description":"BIRTHING CLASSES NON-PHYSICIAN PROVIDER-SESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BISPHOS THXPY VENOUS ORDERED OR RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4100F","description":"BISPHOS THXPY VENOUS ORDERED OR RECEIVED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BITEWING - SINGLE RADIOGRAPHIC IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0270","description":"BITEWING - SINGLE RADIOGRAPHIC IMAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BITEWINGS - FOUR RADIOGRAPHIC IMAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0274","description":"BITEWINGS - FOUR RADIOGRAPHIC IMAGES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BITEWINGS - THREE RADIOGRAPHIC IMAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0273","description":"BITEWINGS - THREE RADIOGRAPHIC IMAGES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BITEWINGS - TWO RADIOGRAPHIC IMAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0272","description":"BITEWINGS - TWO RADIOGRAPHIC IMAGES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BITOLTEROL MESYLATE INHAL CP PROD CONC PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7628","description":"BITOLTEROL MESYLATE INHAL CP PROD CONC PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7629","description":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREP CADAVER/LIVING DONOR INTESTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44715","description":"BKBENCH PREP CADAVER/LIVING DONOR INTESTINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER WHOLE LIVER GRF I AND IV VII","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47144","description":"BKBENCH PREPJ CADAVER WHOLE LIVER GRF I AND IV VII","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BL CYTOGEN TEST NOT PRFRM PT MDS AL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8384","description":"BL CYTOGEN TEST NOT PRFRM PT MDS AL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD PRESS RCD DUR INPT STAYS ER OR URGT CR VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9789","description":"BLD PRESS RCD DUR INPT STAYS ER OR URGT CR VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD PROC NYHA CLS II/III HF/CCS CLS III/IV CRA;","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9782","description":"BLD PROC NYHA CLS II/III HF/CCS CLS III/IV CRA;","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLIND/NONBLND PROC SYM NYHA CLASS II III IVA HF;","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9792","description":"BLIND/NONBLND PROC SYM NYHA CLASS II III IVA HF;","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLINDED ADMINISTRATION OF CONVULSIVE TX PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2000","description":"BLINDED ADMINISTRATION OF CONVULSIVE TX PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLINDED PROC TC IMP CS RD DVCE/PLACEBO CONTROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9783","description":"BLINDED PROC TC IMP CS RD DVCE/PLACEBO CONTROL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COLLECTION TUBE VACUUM FOR DIALYSIS PER 50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4770","description":"BLOOD COLLECTION TUBE VACUUM FOR DIALYSIS PER 50","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COMPONENT OR PRODUCT NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9099","description":"BLOOD COMPONENT OR PRODUCT NOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD GLUCOSE LEVEL TEST IN-OFFICE GLUCOSE METER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0412","description":"BLOOD GLUCOSE LEVEL TEST IN-OFFICE GLUCOSE METER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD GLUCOSE TEST STRIPS FOR DIALYSIS PER 50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4772","description":"BLOOD GLUCOSE TEST STRIPS FOR DIALYSIS PER 50","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD KETONE TEST OR REAGENT STRIP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4252","description":"BLOOD KETONE TEST OR REAGENT STRIP EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD LEAK DETECTOR HEMODIALYSIS EA REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1560","description":"BLOOD LEAK DETECTOR HEMODIALYSIS EA REPLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT TEST 1 DETERM COLORECTAL NEOPLASM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0394","description":"BLOOD OCCULT TEST 1 DETERM COLORECTAL NEOPLASM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE CUFF ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4663","description":"BLOOD PRESSURE CUFF ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE DIASTOLIC  UNDER  80 MMHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8679","description":"BLOOD PRESSURE DIASTOLIC  UNDER  80 MMHG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE DIASTOLIC 80-89 MMHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8680","description":"BLOOD PRESSURE DIASTOLIC 80-89 MMHG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE DIASTOLIC GRT THN EQ 90 MMHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8676","description":"BLOOD PRESSURE DIASTOLIC GRT THN EQ 90 MMHG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SYSTOLIC  UNDER  130 MMHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8677","description":"BLOOD PRESSURE SYSTOLIC  UNDER  130 MMHG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE SYSTOLIC GRT THN EQ 140 MMHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8675","description":"BLOOD PRESSURE SYSTOLIC GRT THN EQ 140 MMHG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE SYSTOLIC GRT THN EQ130 - 139 MMHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8678","description":"BLOOD PRESSURE SYSTOLIC GRT THN EQ130 - 139 MMHG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PUMP FOR HEMODIALYSIS REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1620","description":"BLOOD PUMP FOR HEMODIALYSIS REPLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD SPLIT UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9011","description":"BLOOD SPLIT UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD SULFHEMOGLOBIN TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83055","description":"BLOOD SULFHEMOGLOBIN TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TUBING ART AND VENOUS COMBINED HEMODIALYSIS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4755","description":"BLOOD TUBING ART AND VENOUS COMBINED HEMODIALYSIS EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TUBING ARTERIAL/VENOUS HEMODIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4750","description":"BLOOD TUBING ARTERIAL/VENOUS HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING PATERNITY INDIV ADDL ANTIGEN SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86911","description":"BLOOD TYPING PATERNITY INDIV ADDL ANTIGEN SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING PATERNITY PR INDIV ABO RH AND MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86910","description":"BLOOD TYPING PATERNITY PR INDIV ABO RH AND MN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING, ANTIGEN SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86903","description":"BLOOD TYPING, ANTIGEN SCREEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLS ROUTINE DISPOSABLE SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0382","description":"BLS ROUTINE DISPOSABLE SUPPLIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0384","description":"BLS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 O/S NOR PARM F/U PLN NOT DOC PT NOT ELIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8938","description":"BMI DOC O/S NOR PARM F/U PLN NOT DOC PT NOT ELIG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DOC PT NOT ELIGIBLE BMI CALCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8422","description":"BMI NOT DOC DOC PT NOT ELIGIBLE BMI CALCULATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BN MARROW ASPIR PRFRM W BX SAME INCI SAME DOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0364","description":"BN MARROW ASPIR PRFRM W BX SAME INCI SAME DOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BN MARROW STEM CELL HARV MOD TX ELIMIN CELL TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0267","description":"BN MARROW STEM CELL HARV MOD TX ELIMIN CELL TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BN MARROW/BLD DERIVD STEM CELLS HARV TPLNT and COMP;","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2150","description":"BN MARROW/BLD DERIVD STEM CELLS HARV TPLNT and COMP;","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  AND  JOINT IMAGING TOMOGRAPHIC SPECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78320","description":"BONE  AND  JOINT IMAGING TOMOGRAPHIC SPECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE DENSTY 1 OR GT  SITES DUAL PHOTON ABSORPTIOMETR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78351","description":"BONE DENSTY 1 OR GT  SITES DUAL PHOTON ABSORPTIOMETR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MATRL QUALITY TST BY MICROINDENTATION TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0547T","description":"BONE MATRL QUALITY TST BY MICROINDENTATION TIBIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3270F","description":"BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 STRENGTH  AND  FRACTURE RISK ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0554T","description":"BONE STRENGTH  AND  FRACTURE RISK ANALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE STRENGTH  AND  FRACTURE RISK ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0556T","description":"BONE STRENGTH  AND  FRACTURE RISK ASSESSMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE STRENGTH  AND  FRACTURE RISK I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0557T","description":"BONE STRENGTH  AND  FRACTURE RISK I AND R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE STRENGTH  AND  FRACTURE RSK RETRV AND TRANSMIS DATA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0555T","description":"BONE STRENGTH  AND  FRACTURE RSK RETRV AND TRANSMIS DATA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE STRENGTH  and  FRACTURE RSK CNCRNT VRT FX ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0743T","description":"BONE STRENGTH  and  FRACTURE RSK CNCRNT VRT FX ASSMT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE SURGERY USING COMPUTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0056T","description":"BONE SURGERY USING COMPUTER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BOTULINUM ANTITOXIN EQUINE ANY ROUTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90287","description":"BOTULINUM ANTITOXIN EQUINE ANY ROUTE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BOTULISM IMMUNE GLOBULIN HUMAN INTRAVENOUS USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90288","description":"BOTULISM IMMUNE GLOBULIN HUMAN INTRAVENOUS USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MEASUREMENT NOT DOCUMENTED REASON NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8796","description":"BP MEASUREMENT NOT DOCUMENTED REASON NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTHERAPY NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1715","description":"BRACHYTHERAPY NEEDLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTHERAPY NONSTRANDED CESIUM-131 PER SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2643","description":"BRACHYTHERAPY NONSTRANDED CESIUM-131 PER SOURCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTHERAPY NONSTRANDED GOLD-198 PER SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1716","description":"BRACHYTHERAPY NONSTRANDED GOLD-198 PER SOURCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTHERAPY NONSTRANDED IODINE-125 PER SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2639","description":"BRACHYTHERAPY NONSTRANDED IODINE-125 PER SOURCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTHERAPY NONSTRANDED PALLADIUM-103 PER SRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2641","description":"BRACHYTHERAPY NONSTRANDED PALLADIUM-103 PER SRC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTHERAPY NONSTRANDED YTTRIUM-90 PER SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2616","description":"BRACHYTHERAPY NONSTRANDED YTTRIUM-90 PER SOURCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTHERAPY PLANAR SRC PALLADIUM-103 PER SQ MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2645","description":"BRACHYTHERAPY PLANAR SRC PALLADIUM-103 PER SQ MM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTHERAPY SOURCE NONSTRANDED NOS PER SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2699","description":"BRACHYTHERAPY SOURCE NONSTRANDED NOS PER SOURCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTHERAPY SOURCE STRANDED NOS PER SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2698","description":"BRACHYTHERAPY SOURCE STRANDED NOS PER SOURCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTHERAPY SRC CESIUM-131 CHLORID SOL PER MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2644","description":"BRACHYTHERAPY SRC CESIUM-131 CHLORID SOL PER MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTHERAPY STRANDED CESIUM-131 PER SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2642","description":"BRACHYTHERAPY STRANDED CESIUM-131 PER SOURCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTHERAPY STRANDED IODINE-125 PER SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2638","description":"BRACHYTHERAPY STRANDED IODINE-125 PER SOURCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTHERAPY STRANDED PALLADIUM-103 PER SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2640","description":"BRACHYTHERAPY STRANDED PALLADIUM-103 PER SOURCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE CALC INTERM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77327","description":"BRACHYTX ISODOSE CALC INTERM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE CALC SIMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77326","description":"BRACHYTX ISODOSE CALC SIMP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLAN COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77328","description":"BRACHYTX ISODOSE PLAN COMPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX LINEAR NONSTRAND PALLADIUM-103 PER 1 MM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2636","description":"BRACHYTX LINEAR NONSTRAND PALLADIUM-103 PER 1 MM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX NONSTRAND IODINE-125  GT 1.01 MCI PER SRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2634","description":"BRACHYTX NONSTRAND IODINE-125  GT 1.01 MCI PER SRC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX NONSTRANDED HI DOSE IRIDIUM-192 PER SRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1717","description":"BRACHYTX NONSTRANDED HI DOSE IRIDIUM-192 PER SRC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX NONSTRANDED NON-HD IRIDIUM-192 PER SRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1719","description":"BRACHYTX NONSTRANDED NON-HD IRIDIUM-192 PER SRC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX NONSTRANDED YTTERBIUM-169 PER SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2637","description":"BRACHYTX NONSTRANDED YTTERBIUM-169 PER SOURCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX NONSTRND PALLADIUM-103  GT 2.2 MCI PER SRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2635","description":"BRACHYTX NONSTRND PALLADIUM-103  GT 2.2 MCI PER SRC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING TOMOGRAPHIC SPECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78607","description":"BRAIN IMAGING TOMOGRAPHIC SPECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN SURGERY USING COMPUTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61795","description":"BRAIN SURGERY USING COMPUTER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 AND BRCA2 ANAL UNCOMMON DUP DEL VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81213","description":"BRCA1 AND BRCA2 ANAL UNCOMMON DUP DEL VARIANTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 AND BRCA2 FULL SEQ ANALYS COMM DUP DEL BRCA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81211","description":"BRCA1 AND BRCA2 FULL SEQ ANALYS COMM DUP DEL BRCA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 COMPLETE GENE SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3818","description":"BRCA1 COMPLETE GENE SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 FULL SEQ ANAL AND COMMON DUP DEL VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81214","description":"BRCA1 FULL SEQ ANAL AND COMMON DUP DEL VARIANTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA2 COMPLETE GENE SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3819","description":"BRCA2 COMPLETE GENE SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRDG PMT:1ST MDPP CS C/OM S SPL BNF MO 1-24 EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9890","description":"BRDG PMT:1ST MDPP CS C/OM S SPL BNF MO 1-24 EM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST ADJUVANT CHEMOTHERAPY ADMINISTERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9829","description":"BREAST ADJUVANT CHEMOTHERAPY ADMINISTERED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST BIOPSY VACUUM ASSISTED ROTATING DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19103","description":"BREAST BIOPSY VACUUM ASSISTED ROTATING DEVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROSTHESIS NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8039","description":"BREAST PROSTHESIS NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP ELECTRIC  ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0603","description":"BREAST PUMP ELECTRIC  ANY TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0604","description":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECON DIEP/SIEA FLAP  and  CLOS DONR SITE UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2068","description":"BREAST RECON DIEP/SIEA FLAP  and  CLOS DONR SITE UNI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECON W/GLUTEAL ART PERFORATOR FLAP UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2066","description":"BREAST RECON W/GLUTEAL ART PERFORATOR FLAP UNI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION OTHER TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19366","description":"BREAST RECONSTRUCTION OTHER TECHNIQUE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST SHIELD and SPLASH PROTECTR W/BREAST PUMP REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4284","description":"BREAST SHIELD and SPLASH PROTECTR W/BREAST PUMP REPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREATH TEST HEART TRANSPLANT REJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0085T","description":"BREATH TEST HEART TRANSPLANT REJECTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREATHING RESPONSE TO CO2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94400","description":"BREATHING RESPONSE TO CO2","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREXUCABTAGENE AUTOLEUCEL UP TO 200 M AUTOLOGOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9073","description":"BREXUCABTAGENE AUTOLEUCEL UP TO 200 M AUTOLOGOUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRF OV MON CHANG RX -TX MENTL D O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0064","description":"BRF OV MON CHANG RX -TX MENTL D O","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRIEF FACE-FACE BEHAV CNSL ALCOHL MISUSE 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0443","description":"BRIEF FACE-FACE BEHAV CNSL ALCOHL MISUSE 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC RF DSTRJ PULM NRV BI MAINSTEM BRONCHI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0781T","description":"BRNCHSC RF DSTRJ PULM NRV BI MAINSTEM BRONCHI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC RF DSTRJ PULM NRV UNI MAINSTEM BRONCHUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0782T","description":"BRNCHSC RF DSTRJ PULM NRV UNI MAINSTEM BRONCHUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W NJX CONTRAST SGMTL BRONCHOG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31656","description":"BRNCHSC W NJX CONTRAST SGMTL BRONCHOG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCH RIFL W/BAL and  TRNSEN EBUS DX/TX LES FL W/PF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7556","description":"BRONCH RIFL W/BAL and  TRNSEN EBUS DX/TX LES FL W/PF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOGRAPY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71060","description":"BRONCHOGRAPY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOGRAPY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71040","description":"BRONCHOGRAPY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY COMPUTER-ASSISTED IMAGE-GUIDED NAV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7511","description":"BRONCHOSCOPY COMPUTER-ASSISTED IMAGE-GUIDED NAV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY REMOVAL BRONCH VALVE EA ADDL LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0252T","description":"BRONCHOSCOPY REMOVAL BRONCH VALVE EA ADDL LOBE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY RGD/FLEX BRON ALV LAVAGE CA IG NAV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7510","description":"BRONCHOSCOPY RGD/FLEX BRON ALV LAVAGE CA IG NAV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY RGD/FLEX DX CW WHEN PERF CA IG NAV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7509","description":"BRONCHOSCOPY RGD/FLEX DX CW WHEN PERF CA IG NAV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY TRANSENDO EBUS DUR BRONCHOSCOPIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7512","description":"BRONCHOSCOPY TRANSENDO EBUS DUR BRONCHOSCOPIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHSCOP THERMOPLASTY RADIOFREQ ABLATN  OVER 1 LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9731","description":"BRONCHSCOP THERMOPLASTY RADIOFREQ ABLATN  OVER 1 LOBE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHSCOP THERMOPLASTY RADIOFREQ ABLATN 1 LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9730","description":"BRONCHSCOP THERMOPLASTY RADIOFREQ ABLATN 1 LOBE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHSCPY FLUORO W BRNCHIAL THERMPLASTY  OR GRT 2LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0277T","description":"BRONCHSCPY FLUORO W BRNCHIAL THERMPLASTY  OR GRT 2LOBE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHSCPY FLUORO W BRONCHIAL THERMPLASTY 1 LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0276T","description":"BRONCHSCPY FLUORO W BRONCHIAL THERMPLASTY 1 LOBE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRST RECON 1 BRST DIEP FLAP(S) and /GAP FLAP(S) UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2067","description":"BRST RECON 1 BRST DIEP FLAP(S) and /GAP FLAP(S) UNI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUCCAL/LABIAL FRENECTOMY FRENULECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7961","description":"BUCCAL/LABIAL FRENECTOMY FRENULECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL CP PROD THRU DME CONC 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7634","description":"BUDESONIDE INHAL CP PROD THRU DME CONC 0.25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7627","description":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL NON-CP CONC FORM PER 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7633","description":"BUDESONIDE INHAL NON-CP CONC FORM PER 0.25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUPROPION HCI SUSTAINED RLSE TAB 150 MG 60 TABS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0106","description":"BUPROPION HCI SUSTAINED RLSE TAB 150 MG 60 TABS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUTORPHANOL TARTRATE NASAL SPRAY 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0012","description":"BUTORPHANOL TARTRATE NASAL SPRAY 25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX OOCYTE MICROTQ  GT 5 EMBRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89291","description":"BX OOCYTE MICROTQ  GT 5 EMBRY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX OOCYTE POLR BDY/EMBRY BLST MICROTQ  LT or equal to  5 E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89290","description":"BX OOCYTE POLR BDY/EMBRY BLST MICROTQ  LT or equal to  5 E","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX SKIN SUBCUTANEOUS AND  MUCOUS MEMBRANE 1 LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11100","description":"BX SKIN SUBCUTANEOUS AND  MUCOUS MEMBRANE 1 LESION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BY NURSE SOCIAL WORKER OR OTHER DESIGNATED STAFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0255","description":"BY NURSE SOCIAL WORKER OR OTHER DESIGNATED STAFF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH THN VEIN AORTOFEMPOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35651","description":"BYP OTH THN VEIN AORTOFEMPOP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP W VEIN AORTOFEMPOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35551","description":"BYP W VEIN AORTOFEMPOP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP W VEIN AORTOILIOFEM BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35549","description":"BYP W VEIN AORTOILIOFEM BI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP W VEIN AORTOILIOFEM UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35548","description":"BYP W VEIN AORTOILIOFEM UNI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABERGOLINE ORAL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8515","description":"CABERGOLINE ORAL 0.25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAD CHEST RADIOGRAPH CONCURRENT W/INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0174T","description":"CAD CHEST RADIOGRAPH CONCURRENT W/INTERPRETATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAD CHEST RADIOGRAPH REMOTE FROM PRIMARY INTERPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0175T","description":"CAD CHEST RADIOGRAPH REMOTE FROM PRIMARY INTERPJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAD PT DOC ON ANTIPLATLET TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8036","description":"CAD PT DOC ON ANTIPLATLET TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAD PT LD LIPOPROTN DOC  OVER  100 MG DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8039","description":"CAD PT LD LIPOPROTN DOC  OVER  100 MG DL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAD PT LD LP DOC  UNDER    EQ  100 MG DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8040","description":"CAD PT LD LP DOC  UNDER    EQ  100 MG DL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAD PT NOT DOC ON ANTIPLATLET TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8037","description":"CAD PT NOT DOC ON ANTIPLATLET TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAL  AND  ALYS CNTRL ARTL PRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0311T","description":"CAL  AND  ALYS CNTRL ARTL PRESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCITRIOL 0.25 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0169","description":"CALCITRIOL 0.25 MICROGRAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCITROL 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0161","description":"CALCITROL 0.25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALIBRATED MICROCAPILLARY TUBE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4651","description":"CALIBRATED MICROCAPILLARY TUBE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92543","description":"CALORIC VESTIBULAR TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST EACH IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92533","description":"CALORIC VESTIBULAR TEST EACH IRRIGATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAMISOLE POST-MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8460","description":"CAMISOLE POST-MASTECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANCELLED APPOINTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9987","description":"CANCELLED APPOINTMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANNULJ LVR ALGRFT PREPJ CONNJ NRMTHRMC PRFU DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0894T","description":"CANNULJ LVR ALGRFT PREPJ CONNJ NRMTHRMC PRFU DEV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANOLITH REPOSITIONING PER VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9092","description":"CANOLITH REPOSITIONING PER VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAP FOR BREAST PUMP BOTTLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4283","description":"CAP FOR BREAST PUMP BOTTLE REPLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSAICIN 8PCT  PATCH PER 10 SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7335","description":"CAPSAICIN 8PCT  PATCH PER 10 SQUARE CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSAICIN PATCH 10CM2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9268","description":"CAPSAICIN PATCH 10CM2","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR FCL ABLTJ RADJ ARRHYT CONV LOCLZJ  and  MAPG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0746T","description":"CAR FCL ABLTJ RADJ ARRHYT CONV LOCLZJ  and  MAPG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR FCL ABLTJ RADJ ARRHYT DLVR RADJ THER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0747T","description":"CAR FCL ABLTJ RADJ ARRHYT DLVR RADJ THER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR FCL ABLTJ RADJ ARRHYT N-INVAS LOCLZJ  and  MAPG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0745T","description":"CAR FCL ABLTJ RADJ ARRHYT N-INVAS LOCLZJ  and  MAPG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR MOV HDLG OBJ PROJ GOAL TX OUTSET AND REP INTRVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8985","description":"CAR MOV HDLG OBJ PROJ GOAL TX OUTSET AND REP INTRVL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBON DIOXIDE EXP GAS DETER INFRARED ANALYZER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94770","description":"CARBON DIOXIDE EXP GAS DETER INFRARED ANALYZER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBON MONOXIDE DIFFW CAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94720","description":"CARBON MONOXIDE DIFFW CAP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD MRI FLOW VEL W DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75562","description":"CARD MRI FLOW VEL W DYE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD REHAB PROGM NON-PHYSICIAN PROVIDER PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9472","description":"CARD REHAB PROGM NON-PHYSICIAN PROVIDER PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD SS IMAG OTH RSN THN MON ASX PT PCI IN 2 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8964","description":"CARD SS IMAG OTH RSN THN MON ASX PT PCI IN 2 YRS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8961","description":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD STRSS IMAG PRIM MON ASX PT HAD PCI W/I 2 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8963","description":"CARD STRSS IMAG PRIM MON ASX PT HAD PCI W/I 2 YR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC ACOUS WAVFRM REC AUTO ALYS CAD RSK SCORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0716T","description":"CARDIAC ACOUS WAVFRM REC AUTO ALYS CAD RSK SCORE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC EXPOSURE FOR AORTIC VALVE W CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0259T","description":"CARDIAC EXPOSURE FOR AORTIC VALVE W CARD BYPASS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI FLOW MAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75556","description":"CARDIAC MRI FLOW MAPPING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI FLOW VEL STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75560","description":"CARDIAC MRI FLOW VEL STRESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI FLOW VELOCITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75558","description":"CARDIAC MRI FLOW VELOCITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI FUNCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75554","description":"CARDIAC MRI FUNCTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI LIMITED STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75555","description":"CARDIAC MRI LIMITED STUDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERT-DEFIB OTH THAN SINGLE/DUAL CHAMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1882","description":"CARDIOVERT-DEFIB OTH THAN SINGLE/DUAL CHAMB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERTER-DEFIBRILLATOR DUAL CHAMBER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1721","description":"CARDIOVERTER-DEFIBRILLATOR DUAL CHAMBER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERTER-DEFIBRILLATOR SINGLE CHAMBER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1722","description":"CARDIOVERTER-DEFIBRILLATOR SINGLE CHAMBER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARE MGMT BH COND AL 20 MIN CL STAFF TM P CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0507","description":"CARE MGMT BH COND AL 20 MIN CL STAFF TM P CAL MO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99484","description":"CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARIES PREVENTIVE MEDICAMENT APPLIC - PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1355","description":"CARIES PREVENTIVE MEDICAMENT APPLIC - PER TOOTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARIES RISK ASSESSMENT  AND  DOC FINDING HIGH RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0603","description":"CARIES RISK ASSESSMENT  AND  DOC FINDING HIGH RISK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARIES RISK ASSESSMENT  AND  DOC FINDING LOW RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0601","description":"CARIES RISK ASSESSMENT  AND  DOC FINDING LOW RISK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARIES RISK ASSESSMENT  AND  DOC FINDING MOD RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0602","description":"CARIES RISK ASSESSMENT  AND  DOC FINDING MOD RISK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARIES SUSCEPTIBILITY TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0425","description":"CARIES SUSCEPTIBILITY TESTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARRY MOV HANDLNG OBJ FCN LIM CUR TX REP INTRVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8984","description":"CARRY MOV HANDLNG OBJ FCN LIM CUR TX REP INTRVL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARRY MOVING HAND OBJ FCN LIM D C STS D C TX REP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8986","description":"CARRY MOVING HAND OBJ FCN LIM D C STS D C TX REP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CASE MANAGEMENT; PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2022","description":"CASE MANAGEMENT; PER MONTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CASE PRESENTATION SUBS DTL  and  EXTENSIVE TX PLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9450","description":"CASE PRESENTATION SUBS DTL  and  EXTENSIVE TX PLN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CASES WHICH AN INHALATION ANES USED ONLY FOR IND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9955","description":"CASES WHICH AN INHALATION ANES USED ONLY FOR IND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 POST  AND  CORE PLUS FIX PRTL RETAINER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6970","description":"CAST POST  AND  CORE PLUS FIX PRTL RETAINER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES UNLISTED TYPES AND MATERIALS OF CASTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4050","description":"CAST SUPPLIES UNLISTED TYPES AND MATERIALS OF CASTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH ELECTROPHYSIOLOGY DX OTH THAN 3D MAP 19 OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1730","description":"CATH ELECTROPHYSIOLOGY DX OTH THAN 3D MAP 19 OR LT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH ELECTROPHYSIOLOGY DX OTH THAN 3D MAP 20 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1731","description":"CATH ELECTROPHYSIOLOGY DX OTH THAN 3D MAP 20 OR GT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH ELECTROPHYSIOLOGY DX/ABLAT 3D/VECTOR MAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1732","description":"CATH ELECTROPHYSIOLOGY DX/ABLAT 3D/VECTOR MAP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH EP DX/ABLAT NOT 3D/VECTOR MAP COOL-TIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2630","description":"CATH EP DX/ABLAT NOT 3D/VECTOR MAP COOL-TIP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH EP DX/ABLAT NOT 3D/VECTOR MAP NOT COOL-TIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1733","description":"CATH EP DX/ABLAT NOT 3D/VECTOR MAP NOT COOL-TIP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH EXTRAVASCULAR TISSUE ABLAT MODAL INSERTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1886","description":"CATH EXTRAVASCULAR TISSUE ABLAT MODAL INSERTABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH LAVAGE, MAMMARY DUCT(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0046T","description":"CATH LAVAGE, MAMMARY DUCT(S)","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH LAVAGE, MAMMARY DUCT(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0047T","description":"CATH LAVAGE, MAMMARY DUCT(S)","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PL CA CAG W/INJ CAG S and I LT HC W/INJ LT VNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7557","description":"CATH PL CA CAG W/INJ CAG S and I LT HC W/INJ LT VNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PL COR A LHC IV DV and /P DRVD CFR MSMT DUR CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7524","description":"CATH PL COR A LHC IV DV and /P DRVD CFR MSMT DUR CA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PL COR ART CA LHC CATH PL BPG WITH BPG AG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7526","description":"CATH PL COR ART CA LHC CATH PL BPG WITH BPG AG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PL COR ART CA RT and LHC IV DV and /P DERV CFR MSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7528","description":"CATH PL COR ART CA RT and LHC IV DV and /P DERV CFR MSMT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLACEMENT, ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93508","description":"CATH PLACEMENT, ANGIOGRAPHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLC COR ART EL IMG INIT COR VES/GR IVUS/OCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7516","description":"CATH PLC COR ART EL IMG INIT COR VES/GR IVUS/OCT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLCMNT  COR ART CA RT and LHC PLCMNT BPG ANGIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7529","description":"CATH PLCMNT  COR ART CA RT and LHC PLCMNT BPG ANGIO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLCMNT COR ART CA RT and LHC DX EVAL and /THER INT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7527","description":"CATH PLCMNT COR ART CA RT and LHC DX EVAL and /THER INT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLCMNT COR ART ILIAC  and / FEM ART ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7517","description":"CATH PLCMNT COR ART ILIAC  and / FEM ART ANGIOGRAPHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLCMNT COR ART LHC EL IMAG INIT COR VES/GR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7523","description":"CATH PLCMNT COR ART LHC EL IMAG INIT COR VES/GR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLCMNT COR ART RHC EL IMG INIT COR VES/GRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7521","description":"CATH PLCMNT COR ART RHC EL IMG INIT COR VES/GRFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER  HEMODIAL/PERITONEAL  LONG-TERM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1750","description":"CATHETER  HEMODIAL/PERITONEAL  LONG-TERM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER ABLATION NON-CARDIAC ENDOVASCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1888","description":"CATHETER ABLATION NON-CARDIAC ENDOVASCULAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER BALLOON DILATATION NON-VASCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1726","description":"CATHETER BALLOON DILATATION NON-VASCULAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER BALLOON TISSUE DISSECTOR NON-VASCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1727","description":"CATHETER BALLOON TISSUE DISSECTOR NON-VASCULAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER BRACHYTHERAPY SEED ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1728","description":"CATHETER BRACHYTHERAPY SEED ADMINISTRATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1729","description":"CATHETER DRAINAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER GUIDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1887","description":"CATHETER GUIDING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER HEMODIALYSIS SHORT-TERM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1752","description":"CATHETER HEMODIALYSIS SHORT-TERM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER INFUS INSRT PERIPHERALLY CNTRLLY/MIDLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1751","description":"CATHETER INFUS INSRT PERIPHERALLY CNTRLLY/MIDLN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER INTRACARDIAC ECHOCARDIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1759","description":"CATHETER INTRACARDIAC ECHOCARDIOGRAPHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER INTRADISCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1754","description":"CATHETER INTRADISCAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER INTRASPINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1755","description":"CATHETER INTRASPINAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER INTRAVASCULAR ULTRASOUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1753","description":"CATHETER INTRAVASCULAR ULTRASOUND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER OCCLUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2628","description":"CATHETER OCCLUSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER PACING TRANSESOPHAGEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1756","description":"CATHETER PACING TRANSESOPHAGEAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER PLACEMENT COR ART CA; CATH PLCMNT BPG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7552","description":"CATHETER PLACEMENT COR ART CA; CATH PLCMNT BPG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER PLACEMENT CORONARY ARTERY RHC IV DV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7522","description":"CATHETER PLACEMENT CORONARY ARTERY RHC IV DV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER PLCMNT COR ART CA LHC DUR DX EVAL  and / TI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7525","description":"CATHETER PLCMNT COR ART CA LHC DUR DX EVAL  and / TI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER PLCMNT COR ART CATH PLCMNT BPG DUR CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7519","description":"CATHETER PLCMNT COR ART CATH PLCMNT BPG DUR CA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER PLCMNT COR ART CATH PLCMNT BYPASS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7518","description":"CATHETER PLCMNT COR ART CATH PLCMNT BYPASS GRAFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER PLCMT COR ART; RT  and  LT HEART CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7553","description":"CATHETER PLCMT COR ART; RT  and  LT HEART CATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER SUPRAPUBIC/CYSTOSCOPIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2627","description":"CATHETER SUPRAPUBIC/CYSTOSCOPIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER THROMBECTOMY/EMBOLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1757","description":"CATHETER THROMBECTOMY/EMBOLECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER TRANSLUM INTRAVASC LES PREP DEV BLAD SH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1600","description":"CATHETER TRANSLUM INTRAVASC LES PREP DEV BLAD SH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER TRANSLUMINAL ANGIOPLASTY LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1885","description":"CATHETER TRANSLUMINAL ANGIOPLASTY LASER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1725","description":"CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER TRANSLUMINAL ATHERECTOMY DIRECTIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1714","description":"CATHETER TRANSLUMINAL ATHERECTOMY DIRECTIONAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1724","description":"CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER TRANSLUMINAL IVASC LITHOTRIPSY COR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1761","description":"CATHETER TRANSLUMINAL IVASC LITHOTRIPSY COR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER TRNSLUM ANGPLASTY DRUG-COATED NON-LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2623","description":"CATHETER TRNSLUM ANGPLASTY DRUG-COATED NON-LASER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER URETERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1758","description":"CATHETER URETERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER, PRESSURE-GENERATING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1982","description":"CATHETER, PRESSURE-GENERATING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZE MIDDLE EAR CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69405","description":"CATHETERIZE MIDDLE EAR CANAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CC FLX PRX SP F;TRNSENDO STNT PLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6025","description":"CC FLX PRX SP F;TRNSENDO STNT PLCMT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CC SCR; STL-BASED DNA  AND  F OCCLT HGB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0464","description":"CC SCR; STL-BASED DNA  AND  F OCCLT HGB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCIIV3 VACCINE ABX FREE 0.5 ML FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90661","description":"CCIIV3 VACCINE ABX FREE 0.5 ML FOR IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCM 1 HOUR DZ SRVC PCM AT LEAST 30 MIN CAL MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2065","description":"CCM 1 HOUR DZ SRVC PCM AT LEAST 30 MIN CAL MONTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCM SRVC 1 HR DZ AL 30 M PHYS/HCP TIME CA MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2064","description":"CCM SRVC 1 HR DZ AL 30 M PHYS/HCP TIME CA MO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCM SRVC EA ADD 20 MIN CLIN STF TM DIR HCP CA MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2058","description":"CCM SRVC EA ADD 20 MIN CLIN STF TM DIR HCP CA MO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCTA W WO DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0146T","description":"CCTA W WO DYE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCTA W WO, DISEASE STRXR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0150T","description":"CCTA W WO, DISEASE STRXR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCTA W WO, QUAN CALCIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0147T","description":"CCTA W WO, QUAN CALCIUM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCTA W WO, STRXR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0148T","description":"CCTA W WO, STRXR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CCTA W WO, STRXR QUAN CALC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0149T","description":"CCTA W WO, STRXR QUAN CALC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 PLUS  C CNT PCT  NOT DOC AS PERF NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9215","description":"CD4 PLUS  C CNT PCT  NOT DOC AS PERF NO RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4 PLUS  CELL CNT CD4 PLUS  CELL PCT  RSLT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9214","description":"CD4 PLUS  CELL CNT CD4 PLUS  CELL PCT  RSLT DOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDS MECH APPL P W DFND MCR APPROP USE CRITERIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G1000","description":"CDS MECH APPL P W DFND MCR APPROP USE CRITERIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDTB  AND  VINCULIN IGG ANTIBODIES BY IMMUNOASSAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0085U","description":"CDTB  AND  VINCULIN IGG ANTIBODIES BY IMMUNOASSAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4259","description":"CELERA DUAL LAYER/CELERA DUAL MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELL ENUMRATION W IMMUN SELXN ID FLUID SPEC I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0280T","description":"CELL ENUMRATION W IMMUN SELXN ID FLUID SPEC I AND R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELL ENUMRTION W IMMUN SELXN  AND  ID FLUID SPECIMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0279T","description":"CELL ENUMRTION W IMMUN SELXN  AND  ID FLUID SPECIMN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA CORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4214","description":"CELLESTA CORD PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA FLOWABLE AMNION; PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4185","description":"CELLESTA FLOWABLE AMNION; PER 0.5 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLESTA OR CELLESTA DUO PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4184","description":"CELLESTA OR CELLESTA DUO PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLULAR THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0075","description":"CELLULAR THERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRIFUGE FOR DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1500","description":"CENTRIFUGE FOR DIALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEPHALIC THERMOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93760","description":"CEPHALIC THERMOGRAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREB THERM PERFUSION PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0077T","description":"CEREB THERM PERFUSION PROBE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBRAL VASCULAR FLOW IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78615","description":"CEREBRAL VASCULAR FLOW IMAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W O MATL TOMOG SPECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78647","description":"CEREBROSPINAL FLUID FLOW W O MATL TOMOG SPECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERTI TRANSL/SIGN-LANG SERVICES PER VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9990","description":"CERTI TRANSL/SIGN-LANG SERVICES PER VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERTOLIZUMAB PEGOL INJECTION, 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0718","description":"CERTOLIZUMAB PEGOL INJECTION, 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV THOR LUMB SACRAL IMMOBLIZR INFANT SZ PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1001","description":"CERV THOR LUMB SACRAL IMMOBLIZR INFANT SZ PREFAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL ARTIFIC DISC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0090T","description":"CERVICAL ARTIFIC DISC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL ARTIFIC DISKECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0093T","description":"CERVICAL ARTIFIC DISKECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL CAP FOR CONTRACEPTIVE USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4261","description":"CERVICAL CAP FOR CONTRACEPTIVE USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN BIRTH CLASSES NON-PHYSICIAN PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9438","description":"CESAREAN BIRTH CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CGH MICROARRAY TEST DD ASD  and /OR INTELL DISABILTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3870","description":"CGH MICROARRAY TEST DD ASD  and /OR INTELL DISABILTY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHANG MAINT BDY PSTN FCN LIM PROJECTED GOAL STS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8982","description":"CHANG MAINT BDY PSTN FCN LIM PROJECTED GOAL STS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE BILE DUCT CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47525","description":"CHANGE BILE DUCT CATHETER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE GASTROSTOMY TUBE PERCUTANEOUS W O GDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43760","description":"CHANGE GASTROSTOMY TUBE PERCUTANEOUS W O GDNCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE KIDNEY TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50398","description":"CHANGE KIDNEY TUBE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE URETEROSTOMY TUBE/EXT ACCESSIBLE URS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7549","description":"CHANGE URETEROSTOMY TUBE/EXT ACCESSIBLE URS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHANGING AND MAINT BODY POS FUNC LIM D C TX END REP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8983","description":"CHANGING AND MAINT BODY POS FUNC LIM D C TX END REP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHARGER  and  BASE STATION IU ACTV DEVC REPLAC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1012","description":"CHARGER  and  BASE STATION IU ACTV DEVC REPLAC ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHDRN NOT SCR FOR RISK DVLP BEHAV  AND  SOC DLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9967","description":"CHDRN NOT SCR FOR RISK DVLP BEHAV  AND  SOC DLA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHECKOUT ORTHOTIC PROSTHETIC ESTAB PT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97762","description":"CHECKOUT ORTHOTIC PROSTHETIC ESTAB PT EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMO ADMIN OTH THAN INFUS TECH ONLY PER VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0083","description":"CHEMO ADMIN OTH THAN INFUS TECH ONLY PER VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMO DOC NOT RECV STG III COLON CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8371","description":"CHEMO DOC NOT RECV STG III COLON CA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMO DOC RECV STAGE III COLON CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8372","description":"CHEMO DOC RECV STAGE III COLON CA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMO PLAN DOC PRIOR CHEMO ADMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8373","description":"CHEMO PLAN DOC PRIOR CHEMO ADMIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMO PLAN NOT DOC PRIOR CHEMO ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8374","description":"CHEMO PLAN NOT DOC PRIOR CHEMO ADMN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ABDUCTOR MUSCLE VOCAL CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2340","description":"CHEMODENERVATION ABDUCTOR MUSCLE VOCAL CORD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ADDUCTOR MUSCLE VOCAL CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2341","description":"CHEMODENERVATION ADDUCTOR MUSCLE VOCAL CORD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION EXTREMITY AND  TRUNK MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64614","description":"CHEMODENERVATION EXTREMITY AND  TRUNK MUSCLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION NECK MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64613","description":"CHEMODENERVATION NECK MUSCLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHAPY ADMN BOTH INFUS TECH AND OTH TECHIQUE-VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0085","description":"CHEMOTHAPY ADMN BOTH INFUS TECH AND OTH TECHIQUE-VST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMIN INFUS TECHNIQUE ONLY VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0084","description":"CHEMOTHERAPY ADMIN INFUS TECHNIQUE ONLY VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY, INTRACAVITARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96445","description":"CHEMOTHERAPY, INTRACAVITARY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMS/ANTISEPTICS SOL CLEAN/STERILIZE DIALY 8OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4674","description":"CHEMS/ANTISEPTICS SOL CLEAN/STERILIZE DIALY 8OZ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST SHELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0457","description":"CHEST SHELL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST WRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0459","description":"CHEST WRAP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHF TELEMONITORING, EQUIPMENT PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9109","description":"CHF TELEMONITORING, EQUIPMENT PER MONTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHILD SIT-CHILD IND REC ALCOHL and /SUBSTNC ABS SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1009","description":"CHILD SIT-CHILD IND REC ALCOHL and /SUBSTNC ABS SRVC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHILDBIRTH PREP/LAMAZE CLASS NON-MD PER SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9436","description":"CHILDBIRTH PREP/LAMAZE CLASS NON-MD PER SESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHILDBRTH REFRESH CLASSES NON-PHYSICIAN PER SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9437","description":"CHILDBRTH REFRESH CLASSES NON-PHYSICIAN PER SESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHILDREN TAKNG ABX 30 DAYS PRI TO DATE OF ENCNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9701","description":"CHILDREN TAKNG ABX 30 DAYS PRI TO DATE OF ENCNTR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLAMYDIA GONORRHEA  AND  SYPHILIS SCR RSLT NOT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9229","description":"CHLAMYDIA GONORRHEA  AND  SYPHILIS SCR RSLT NOT DOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLDRN WHO WERE SCR RISK DVLP BEHAV  AND  SOC DLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9966","description":"CHLDRN WHO WERE SCR RISK DVLP BEHAV  AND  SOC DLA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORHEXIDINE CONTAINING ANTISEPTIC 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4248","description":"CHLORHEXIDINE CONTAINING ANTISEPTIC 1 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORPROMAZINE HCL 10 MG, ORAL, LESS THN EQ 48HR REGMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0171","description":"CHLORPROMAZINE HCL 10 MG, ORAL, LESS THN EQ 48HR REGMN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORPROMAZINE HCL 25 MG, ORAL, LESS THN EQ 48HR REGMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0172","description":"CHLORPROMAZINE HCL 25 MG, ORAL, LESS THN EQ 48HR REGMN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHNG MAINT BDY PSTN FCN LIM TX OUTSET REP INTRVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8981","description":"CHNG MAINT BDY PSTN FCN LIM TX OUTSET REP INTRVL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLERA VACCINE INJECTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90725","description":"CHOLERA VACCINE INJECTABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINE C 11 DIAGNOSTIC PER STUDY D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9461","description":"CHOLINE C 11 DIAGNOSTIC PER STUDY D","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINE C-11 DX PER STUDY DOSE UP TO 20 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9515","description":"CHOLINE C-11 DX PER STUDY DOSE UP TO 20 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORE SERVICES; PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5120","description":"CHORE SERVICES; PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORE SERVICES; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5121","description":"CHORE SERVICES; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHROMIC PHOSHATE P-32 SUSP THERAPEUTIC PER MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9564","description":"CHROMIC PHOSHATE P-32 SUSP THERAPEUTIC PER MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9553","description":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHROMOTOGRAPHY QUANT MULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82492","description":"CHROMOTOGRAPHY QUANT MULT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHROMOTOGRAPHY QUANT SING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82491","description":"CHROMOTOGRAPHY QUANT SING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRON CARE DRUG INVESTIGATN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0130T","description":"CHRON CARE DRUG INVESTIGATN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CILTACABTAGENE AUTOLEUCEL TO 100 M BCMA PER TX D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9098","description":"CILTACABTAGENE AUTOLEUCEL TO 100 M BCMA PER TX D","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCULATING TUMOR CELL TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3711","description":"CIRCULATING TUMOR CELL TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CL DOC PT FINAL CAROTID IMAG STEN 30-99PCT  INELIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8241","description":"CL DOC PT FINAL CAROTID IMAG STEN 30-99PCT  INELIG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CL DOC PT INELIG DVT PROPH HX DAY 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8221","description":"CL DOC PT INELIG DVT PROPH HX DAY 2","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CL NOT DOC ORDR VTE PROPH 24 HR SX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8214","description":"CL NOT DOC ORDR VTE PROPH 24 HR SX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING  AND  INSPECTION REMV CMPL DENTUR MANDIBULR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9933","description":"CLEANING  AND  INSPECTION REMV CMPL DENTUR MANDIBULR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING  AND  INSPECTION REMV CMPL DENTUR MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9932","description":"CLEANING  AND  INSPECTION REMV CMPL DENTUR MAXILLARY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING  AND  INSPECTION REMV PART DENTUR MANDIBULR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9935","description":"CLEANING  AND  INSPECTION REMV PART DENTUR MANDIBULR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING  AND  INSPECTION REMV PART DENTUR MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9934","description":"CLEANING  AND  INSPECTION REMV PART DENTUR MAXILLARY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLEANING  AND  INSPECTN REMV APPLIANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9931","description":"CLEANING  AND  INSPECTN REMV APPLIANCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DEC SUPP MECH SAGE HMS DEFINED MCR AUC PROG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G1009","description":"CLIN DEC SUPP MECH SAGE HMS DEFINED MCR AUC PROG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DID NOT PROV CARE RQR TM MAMMO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8114","description":"CLIN DID NOT PROV CARE RQR TM MAMMO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DID NOT PRSC ACE INHIB/ARB TX RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8937","description":"CLIN DID NOT PRSC ACE INHIB/ARB TX RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CAD PT NOT ELIG LD LP MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8041","description":"CLIN DOC CAD PT NOT ELIG LD LP MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC CMNC PHYS CARE PT FRAC TESTED OSTEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8337","description":"CLIN DOC CMNC PHYS CARE PT FRAC TESTED OSTEO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC COLON CA PT NOT ELIG CHEMO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8377","description":"CLIN DOC COLON CA PT NOT ELIG CHEMO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC DIAB PT NOT ELIG BP MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8025","description":"CLIN DOC DIAB PT NOT ELIG BP MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC DIAB PT NOT ELIG LD LP MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8021","description":"CLIN DOC DIAB PT NOT ELIG LD LP MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC ERSD PT NOT ELIG HCT MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8080","description":"CLIN DOC ERSD PT NOT ELIG HCT MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC ERSD PT NOT ELIG URR MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8077","description":"CLIN DOC ERSD PT NOT ELIG URR MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC FE PT NOT ELIG MAMMO MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8113","description":"CLIN DOC FE PT NOT ELIG MAMMO MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC FE PT NOT ELIG OP ASMT MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8053","description":"CLIN DOC FE PT NOT ELIG OP ASMT MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC GIVEN CEFAZOLIN CEFUROX ANTIMICRB PROPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8199","description":"CLIN DOC GIVEN CEFAZOLIN CEFUROX ANTIMICRB PROPH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC GIVEN PROPH ABX W I 1 HR PRIOR SURG INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8192","description":"CLIN DOC GIVEN PROPH ABX W I 1 HR PRIOR SURG INC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC GIVEN PROPH ABX W I 1 HR PRIOR SURG INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8195","description":"CLIN DOC GIVEN PROPH ABX W I 1 HR PRIOR SURG INC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC GIVEN VTE PROPH 24 HR PRIOR AFTER SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8213","description":"CLIN DOC GIVEN VTE PROPH 24 HR PRIOR AFTER SURG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC HF PT NOT ELIG BB TX MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8032","description":"CLIN DOC HF PT NOT ELIG BB TX MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC NEW DX OP PT NOT ELIG PTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8104","description":"CLIN DOC NEW DX OP PT NOT ELIG PTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC NO QUAN RNA TEST WK 12;","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8460","description":"CLIN DOC NO QUAN RNA TEST WK 12;","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC OP PT NOT ELIG CA AND VIT D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8100","description":"CLIN DOC OP PT NOT ELIG CA AND VIT D","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC ORDER DC PROPH ABX W I 24 HR SURG END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8202","description":"CLIN DOC ORDER DC PROPH ABX W I 24 HR SURG END","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC ORDER DC PROPH ABX W I 48 HR SURG END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8207","description":"CLIN DOC ORDER DC PROPH ABX W I 48 HR SURG END","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC ORDER PROPH ABX W I 1 HR PRIOR SURG INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8191","description":"CLIN DOC ORDER PROPH ABX W I 1 HR PRIOR SURG INC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC ORDER VTE PROPH 24 HR PRIOR AFTER SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8212","description":"CLIN DOC ORDER VTE PROPH 24 HR PRIOR AFTER SURG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PCA NOT ELIG ADJVANT H TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8464","description":"CLIN DOC PCA NOT ELIG ADJVANT H TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PROPH ABX DC W I 24 HR SURG END TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8203","description":"CLIN DOC PROPH ABX DC W I 24 HR SURG END TIME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PROPH ABX DC W I 48 HR SURG END TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8208","description":"CLIN DOC PROPH ABX DC W I 48 HR SURG END TIME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT ELIG CANDIDATE BARIUM SWALLOW TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8255","description":"CLIN DOC PT ELIG CANDIDATE BARIUM SWALLOW TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT HF AND AF NOT ELIG WARF TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8184","description":"CLIN DOC PT HF AND AF NOT ELIG WARF TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT INELIG DYSPHAG SCR PRIOR FOOD FL MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8236","description":"CLIN DOC PT INELIG DYSPHAG SCR PRIOR FOOD FL MED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT INELIG PROPHYLACTIC ABX SELECTN MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8528","description":"CLIN DOC PT INELIG PROPHYLACTIC ABX SELECTN MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT INELIG VTE PROPH 24 HR PRIOR AFTR SX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8215","description":"CLIN DOC PT INELIG VTE PROPH 24 HR PRIOR AFTR SX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT ISOLATD CABG NOT ELIG PRE-OP BB MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8163","description":"CLIN DOC PT ISOLATD CABG NOT ELIG PRE-OP BB MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIB FOR APPROP EMPIRIC ABX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8368","description":"CLIN DOC PT NOT ELIB FOR APPROP EMPIRIC ABX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG AB 1HR TO INCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8154","description":"CLIN DOC PT NOT ELIG AB 1HR TO INCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG ABI MEASURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8409","description":"CLIN DOC PT NOT ELIG ABI MEASURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG ABX 1 HR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8631","description":"CLIN DOC PT NOT ELIG ABX 1 HR SURG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG AD CONT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8131","description":"CLIN DOC PT NOT ELIG AD CONT TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG ANTICOAGULANT TX AT DISCHRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8228","description":"CLIN DOC PT NOT ELIG ANTICOAGULANT TX AT DISCHRG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG ANTIDEPRESSNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8128","description":"CLIN DOC PT NOT ELIG ANTIDEPRESSNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG ANTIOX VIT MIN SUPL DUR YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8311","description":"CLIN DOC PT NOT ELIG ANTIOX VIT MIN SUPL DUR YR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG ANTIPLATELET TX DC PT ON AC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8224","description":"CLIN DOC PT NOT ELIG ANTIPLATELET TX DC PT ON AC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG ASSESS URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8264","description":"CLIN DOC PT NOT ELIG ASSESS URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG ASSESS VISUAL FUNC STATUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8319","description":"CLIN DOC PT NOT ELIG ASSESS VISUAL FUNC STATUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG AUTOGN AV FIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8531","description":"CLIN DOC PT NOT ELIG AUTOGN AV FIST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG CABG W INTRL MAMMRY ART MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8160","description":"CLIN DOC PT NOT ELIG CABG W INTRL MAMMRY ART MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG CALCM AND VIT D AND EXER DUR RPT YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8290","description":"CLIN DOC PT NOT ELIG CALCM AND VIT D AND EXER DUR RPT YR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG CAND GT TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8458","description":"CLIN DOC PT NOT ELIG CAND GT TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG CANDIDATE FOR ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8358","description":"CLIN DOC PT NOT ELIG CANDIDATE FOR ECG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG CANDIDATE PHRMCL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8286","description":"CLIN DOC PT NOT ELIG CANDIDATE PHRMCL THERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG CENTRAL DEXA MSR PHRMC TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8346","description":"CLIN DOC PT NOT ELIG CENTRAL DEXA MSR PHRMC TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG CNTRL DEXA MSR PRSCR PHRMCL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8342","description":"CLIN DOC PT NOT ELIG CNTRL DEXA MSR PRSCR PHRMCL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG D MAC FUND EX DUR REPORT YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8331","description":"CLIN DOC PT NOT ELIG D MAC FUND EX DUR REPORT YR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG FLU VAC MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8110","description":"CLIN DOC PT NOT ELIG FLU VAC MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 FOR FALL RISK SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8272","description":"CLIN DOC PT NOT ELIG FOR FALL RISK SCREENING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG HEAR ASMT MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8059","description":"CLIN DOC PT NOT ELIG HEAR ASMT MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG LWR NEURO EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8406","description":"CLIN DOC PT NOT ELIG LWR NEURO EXAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG MAC FUND EX CMNC PHYS DIAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8335","description":"CLIN DOC PT NOT ELIG MAC FUND EX CMNC PHYS DIAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG MACULAR EX DUR REPORT YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8315","description":"CLIN DOC PT NOT ELIG MACULAR EX DUR REPORT YEAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG ONH EVAL DUR RP YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8300","description":"CLIN DOC PT NOT ELIG ONH EVAL DUR RP YR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG OXYGEN SATURATION ASSESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8363","description":"CLIN DOC PT NOT ELIG OXYGEN SATURATION ASSESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG PNUMCOCCL VACC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8117","description":"CLIN DOC PT NOT ELIG PNUMCOCCL VACC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG PRE-SURG AXIAL LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8323","description":"CLIN DOC PT NOT ELIG PRE-SURG AXIAL LENGTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG PROPH ABX DC 24 HR SURG END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8205","description":"CLIN DOC PT NOT ELIG PROPH ABX DC 24 HR SURG END","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG PROPH ABX DC 48 HR SURG END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8210","description":"CLIN DOC PT NOT ELIG PROPH ABX DC 48 HR SURG END","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG RAD TX MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8378","description":"CLIN DOC PT NOT ELIG RAD TX MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG SPEC TRGT IOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8304","description":"CLIN DOC PT NOT ELIG SPEC TRGT IOP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG STG RES MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8519","description":"CLIN DOC PT NOT ELIG STG RES MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG TE PROPH MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8157","description":"CLIN DOC PT NOT ELIG TE PROPH MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIG UI ASMT MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8062","description":"CLIN DOC PT NOT ELIG UI ASMT MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIGIBLE CANDIDATE ESOPHAGEAL BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8252","description":"CLIN DOC PT NOT ELIGIBLE CANDIDATE ESOPHAGEAL BX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT NOT ELIGIBLE CANDIDATE UPPER ENDO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8249","description":"CLIN DOC PT NOT ELIGIBLE CANDIDATE UPPER ENDO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT VA NO AV FIST NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8532","description":"CLIN DOC PT VA NO AV FIST NO RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT WAS NOT AN ELIG CANDIDATE FOR ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8352","description":"CLIN DOC PT WAS NOT AN ELIG CANDIDATE FOR ECG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC PT WAS NOT ELIGIBLE PROPH ANTIBIOTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8194","description":"CLIN DOC PT WAS NOT ELIGIBLE PROPH ANTIBIOTIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC REASON PT BIOPSY RESULTS NOT REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8884","description":"CLIN DOC REASON PT BIOPSY RESULTS NOT REVIEWED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN DOC RECONCILIATION DC MED CURR MED LIST REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8256","description":"CLIN DOC RECONCILIATION DC MED CURR MED LIST REC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT DOC ABX ADMN 1 HR PRIOR SX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8196","description":"CLIN NOT DOC ABX ADMN 1 HR PRIOR SX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT DOC CMNC PHYS PT TST OSTEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8338","description":"CLIN NOT DOC CMNC PHYS PT TST OSTEO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT DOC ORD DC ABX 24 H SX END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8204","description":"CLIN NOT DOC ORD DC ABX 24 H SX END","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT DOC ORD DC ABX 48 H SX END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8209","description":"CLIN NOT DOC ORD DC ABX 48 H SX END","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT DOC ORDR ABX 1 HR PRIOR SX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8193","description":"CLIN NOT DOC ORDR ABX 1 HR PRIOR SX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT DOC PRESENC ABSEN ALARM SX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8274","description":"CLIN NOT DOC PRESENC ABSEN ALARM SX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT DOC RECONCILIATION DC MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8257","description":"CLIN NOT DOC RECONCILIATION DC MED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PROV CARE AGE-REL MD PT ANTIOX SUPL PRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8312","description":"CLIN NOT PROV CARE AGE-REL MD PT ANTIOX SUPL PRS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT PROV CARE AGE-REL MD PT TIME MAC EX MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8316","description":"CLIN NOT PROV CARE AGE-REL MD PT TIME MAC EX MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT PROV CARE CAT PT PRE-SURG MSR AND IOL PWR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8324","description":"CLIN NOT PROV CARE CAT PT PRE-SURG MSR AND IOL PWR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT PROV CARE CAT PT RQR TIME FUND EVAL MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8328","description":"CLIN NOT PROV CARE CAT PT RQR TIME FUND EVAL MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT PROV CARE CAT PT VISUAL FUNC STS MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8320","description":"CLIN NOT PROV CARE CAT PT VISUAL FUNC STS MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT PROV CARE DB PT TM BP MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8026","description":"CLIN NOT PROV CARE DB PT TM BP MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT PROV CARE DB PT TM HGB A1C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8018","description":"CLIN NOT PROV CARE DB PT TM HGB A1C","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT PROV CARE DB PT TM LD LP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8022","description":"CLIN NOT PROV CARE DB PT TM LD LP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT PROV CARE DEVELOP POC URINARY INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8269","description":"CLIN NOT PROV CARE DEVELOP POC URINARY INCONT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT PROV CARE DIAB PT PHYS CMNC MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8336","description":"CLIN NOT PROV CARE DIAB PT PHYS CMNC MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT PROV CARE DIAB RETINOPATHY PT MAC EDEMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8332","description":"CLIN NOT PROV CARE DIAB RETINOPATHY PT MAC EDEMA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT PROV CARE POAG TX DOC MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8305","description":"CLIN NOT PROV CARE POAG TX DOC MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT PROV CARE PRIM OAG PT TIME ONH EVAL MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8301","description":"CLIN NOT PROV CARE PRIM OAG PT TIME ONH EVAL MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT PROV CARE PT DEXA MSR PHRMC TX MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8347","description":"CLIN NOT PROV CARE PT DEXA MSR PHRMC TX MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT PROV CARE PT REQRD TIME CAL D AND EXER MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8291","description":"CLIN NOT PROV CARE PT REQRD TIME CAL D AND EXER MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT PROV CARE PT RQR TIME PHRMCL TX MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8287","description":"CLIN NOT PROV CARE PT RQR TIME PHRMCL TX MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT PROV CARE REQ TIME SCREEN FOR FALL RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8273","description":"CLIN NOT PROV CARE REQ TIME SCREEN FOR FALL RISK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT PROV CARE TIME DEXA MSR PHRMCL TX MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8343","description":"CLIN NOT PROV CARE TIME DEXA MSR PHRMCL TX MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN NOT PRSC ACE I ARB TX RSN NSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8481","description":"CLIN NOT PRSC ACE I ARB TX RSN NSP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 INHIBITOR ARB THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8479","description":"CLIN PRSC ACE INHIBITOR ARB THERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN PT INELIG SURROG DECISN MAKER ADV CARE PLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8261","description":"CLIN PT INELIG SURROG DECISN MAKER ADV CARE PLAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 STAGE B4 SURG RES NOT REC RNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8520","description":"CLIN STAGE B4 SURG RES NOT REC RNS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN STAGE PRIOR TO SURG RES REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8518","description":"CLIN STAGE PRIOR TO SURG RES REC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN TREAT MDD DID NOT COMM CLIN TREAT CC PT RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9232","description":"CLIN TREAT MDD DID NOT COMM CLIN TREAT CC PT RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN TREATING MDD COM CLIN TREATING COMORBID CON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8959","description":"CLIN TREATING MDD COM CLIN TREATING COMORBID CON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLIN TX MDD DID NOT COM CLIN TC CC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8960","description":"CLIN TX MDD DID NOT COM CLIN TC CC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINC DOC NOT ELIG PHAR TX OSTEOPOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8634","description":"CLINC DOC NOT ELIG PHAR TX OSTEOPOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINC DOC PT NO SUI RISK ASSESS MDD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8466","description":"CLINC DOC PT NO SUI RISK ASSESS MDD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINC DOC PT NOT ELIG CANDIDATE TO RECV ASPIRIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8355","description":"CLINC DOC PT NOT ELIG CANDIDATE TO RECV ASPIRIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL DEC SUPP MECH NIA DEFINED MCR AUC PROG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G1005","description":"CLINICAL DEC SUPP MECH NIA DEFINED MCR AUC PROG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL DEC SUPP MECH TEST APPROP DFIND MCR AUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G1006","description":"CLINICAL DEC SUPP MECH TEST APPROP DFIND MCR AUC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL PATHOLOGY CONSULTATION COMPREHENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80502","description":"CLINICAL PATHOLOGY CONSULTATION COMPREHENSIVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICAL PATHOLOGY CONSULTATION LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80500","description":"CLINICAL PATHOLOGY CONSULTATION LIMITED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICALLY NODE NEGATIVE INVASIVE BREAST CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8879","description":"CLINICALLY NODE NEGATIVE INVASIVE BREAST CANCER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DOC PRESENCE OR ABSENCE ALARM SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8245","description":"CLINICIAN DOC PRESENCE OR ABSENCE ALARM SYMPTOMS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DOC PT NOT ELIG ABI MEASUREMENT MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8514","description":"CLINICIAN DOC PT NOT ELIG ABI MEASUREMENT MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DOC PT NOT ELIG CAND SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8401","description":"CLINICIAN DOC PT NOT ELIG CAND SCR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WAS NOT ELIG FOR ANITPLATLET TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8522","description":"CLINICIAN DOC PT WAS NOT ELIG FOR ANITPLATLET TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DOC REASON NOT PERFRM FLP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8726","description":"CLINICIAN DOC REASON NOT PERFRM FLP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DOC THAT PROPH ANTIBIOTIC WAS GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8206","description":"CLINICIAN DOC THAT PROPH ANTIBIOTIC WAS GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLINICIAN DOC THAT PROPH ANTIBIOTIC WAS GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8211","description":"CLINICIAN DOC THAT PROPH ANTIBIOTIC WAS GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 INTNDS RPT ESRD MSR GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8488","description":"CLINICIAN INTNDS RPT ESRD MSR GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLL PT NO DOC BL FLW CYTOMTRY PRFRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8375","description":"CLL PT NO DOC BL FLW CYTOMTRY PRFRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLN DOC AMI PT NOT ELIG ASPIRN ARRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8008","description":"CLN DOC AMI PT NOT ELIG ASPIRN ARRV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLN DOC BRST CA PT NOT ELIG TAMOXFN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8376","description":"CLN DOC BRST CA PT NOT ELIG TAMOXFN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLN DOC CAD PT NOT ELIG ANTI-PLT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8038","description":"CLN DOC CAD PT NOT ELIG ANTI-PLT TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLN DOC F 65 YR OR GRT  NOT ELIG BMD RX OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8107","description":"CLN DOC F 65 YR OR GRT  NOT ELIG BMD RX OP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLN DOC HF PT NOT ELIG ACEI ARB MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8029","description":"CLN DOC HF PT NOT ELIG ACEI ARB MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLN DOC OA PT NOT ELIG ANUL FN AND PAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8186","description":"CLN DOC OA PT NOT ELIG ANUL FN AND PAIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLN DOC PN PT NOT ELIG ABX W I 4 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8014","description":"CLN DOC PN PT NOT ELIG ABX W I 4 HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLN DOC PT CABG NOT ELIG ANTIPLT DC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8172","description":"CLN DOC PT CABG NOT ELIG ANTIPLT DC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLN DOC PT DX MD NOT ELIG AD MED TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9193","description":"CLN DOC PT DX MD NOT ELIG AD MED TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLN DOC PT NOT ELG ACE INHIB ARB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8480","description":"CLN DOC PT NOT ELG ACE INHIB ARB TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLN DOC PT NOT ELIG FALL ASMT 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8056","description":"CLN DOC PT NOT ELIG FALL ASMT 12 MO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLN NOT PROV CARE CARD PT RQR T LDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8182","description":"CLN NOT PROV CARE CARD PT RQR T LDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED REDUCTION OF DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7820","description":"CLOSED REDUCTION OF DISLOCATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT NASAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21310","description":"CLOSED TREATMENT NASAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX SPINE PROCESS FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22305","description":"CLOSED TX SPINE PROCESS FX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE AORTICO-LEFT VENTRICULAR TUNNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33722","description":"CLOSURE AORTICO-LEFT VENTRICULAR TUNNEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE DEVICE VASCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1760","description":"CLOSURE DEVICE VASCULAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOZAPINE 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0136","description":"CLOZAPINE 25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMBN R HRT  AND  RETROGRADE L HRT CATHJ CGEN ANOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93531","description":"CMBN R HRT  AND  RETROGRADE L HRT CATHJ CGEN ANOMA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMBN R HRT T-SEPTAL L HRT CATHJ NTC SEPTUM CGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93532","description":"CMBN R HRT T-SEPTAL L HRT CATHJ NTC SEPTUM CGEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMBN R HRT T-SEPTAL L HRT CATHJ SEPTAL OPNG CGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93533","description":"CMBN R HRT T-SEPTAL L HRT CATHJ SEPTAL OPNG CGEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMNCT BD NON-ELEC AUG/ALTERNATV CMNCT DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1902","description":"CMNCT BD NON-ELEC AUG/ALTERNATV CMNCT DEVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMP-AID DETN INCL CMP ALG ANALYS BR MRI IMG DATA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8937","description":"CMP-AID DETN INCL CMP ALG ANALYS BR MRI IMG DATA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMPL CYCLE GAMETE INTRAFALLOPIAN TRNSF CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4013","description":"CMPL CYCLE GAMETE INTRAFALLOPIAN TRNSF CASE RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMPL CYCLE ZYGOTE INTRAFALLOPIAN TRNSF CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4014","description":"CMPL CYCLE ZYGOTE INTRAFALLOPIAN TRNSF CASE RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMPL EARLY PERIODIC SCREENING DX AND TX SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0302","description":"CMPL EARLY PERIODIC SCREENING DX AND TX SERVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMPL IN VITRO FERTILIZATION CYCLE CASE RATE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4015","description":"CMPL IN VITRO FERTILIZATION CYCLE CASE RATE NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMPL PT DATA REP QUAL CLIN DB REG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8954","description":"CMPL PT DATA REP QUAL CLIN DB REG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMPLX CHRON CARE W  PT VSIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99488","description":"CMPLX CHRON CARE W  PT VSIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMPRTV DNA ALYS MLT SNPS UR AND BUCCAL SPEC ID VERIF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0079U","description":"CMPRTV DNA ALYS MLT SNPS UR AND BUCCAL SPEC ID VERIF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMRI MORPHOL  and  FUNC QUAN SEG DYSFUNC;STRAIN IMAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9762","description":"CMRI MORPHOL  and  FUNC QUAN SEG DYSFUNC;STRAIN IMAG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMRI MORPHOL  and  FUNC QUAN SEG DYSFUNC;STRESS IMAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9763","description":"CMRI MORPHOL  and  FUNC QUAN SEG DYSFUNC;STRESS IMAG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMTY PSYC SUPPORTIVE TX FCE-TO-FCE PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0036","description":"CMTY PSYC SUPPORTIVE TX FCE-TO-FCE PER 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNSL DIET  AND  PA NOT PERF RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8782","description":"CNSL DIET  AND  PA NOT PERF RSN NOT GVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNSL ORAL BEHAV  and  SYS HLTH EFF HI-RISK SUBST USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1321","description":"CNSL ORAL BEHAV  and  SYS HLTH EFF HI-RISK SUBST USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNSL and DISCUSS ADV DIRCTV/EOL CARE PT and /SURROGATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0257","description":"CNSL and DISCUSS ADV DIRCTV/EOL CARE PT and /SURROGATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTC NEAR INFRARED SPECTROSCPY STD LOW EXT WND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0493T","description":"CNTC NEAR INFRARED SPECTROSCPY STD LOW EXT WND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTERIMMUNOELECTROPHORESIS EACH ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86185","description":"CNTERIMMUNOELECTROPHORESIS EACH ANTIGEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CO EXPIRED GAS ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0043T","description":"CO EXPIRED GAS ANALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9559","description":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COBALT CO-57/58 CYANOCOBALAMN DX TO 1 MICROCURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9546","description":"COBALT CO-57/58 CYANOCOBALAMN DX TO 1 MICROCURIE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCAINE HYDROCHLORIDE NASAL SOL TOP ADMN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9046","description":"COCAINE HYDROCHLORIDE NASAL SOL TOP ADMN 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCAINE HYDROCHLORIDE NASAL SOLUTION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9143","description":"COCAINE HYDROCHLORIDE NASAL SOLUTION 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCOON MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4264","description":"COCOON MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGENEX FLOWABLE AMNION PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4230","description":"COGENEX FLOWABLE AMNION PER 0.5 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COGN  AND  FUNCT ASMT USING STD INST OFF OTH OP HOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0505","description":"COGN  AND  FUNCT ASMT USING STD INST OFF OTH OP HOME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLD/HOT FL BTL ICE CAP/C HEAT  and / COLD WRAP ANY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9273","description":"COLD/HOT FL BTL ICE CAP/C HEAT  and / COLD WRAP ANY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLISTMTHATE SODIUM INHAL SOL CONC FORM-PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0142","description":"COLISTMTHATE SODIUM INHAL SOL CONC FORM-PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLL  and  PREP OF SALIVA SAMPLE LABORATORY ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0417","description":"COLL  and  PREP OF SALIVA SAMPLE LABORATORY ANALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLL MENISCUS IMPL PROC FILLING MENISCAL DEFECTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0428","description":"COLL MENISCUS IMPL PROC FILLING MENISCAL DEFECTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLL-E-DERM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4193","description":"COLL-E-DERM PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN CROSS-LINKING CORNEA and PACHYMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0402T","description":"COLLAGEN CROSS-LINKING CORNEA and PACHYMETRY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN NERVE CUFF PER 0.5 CENTIMETER LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9355","description":"COLLAGEN NERVE CUFF PER 0.5 CENTIMETER LENGTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN SKIN TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q3031","description":"COLLAGEN SKIN TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECT BLOOD VENOUS DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36540","description":"COLLECT BLOOD VENOUS DEVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION  AND  APPLIC AUTO BLOOD CONCENTRATE PROD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7921","description":"COLLECTION  AND  APPLIC AUTO BLOOD CONCENTRATE PROD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION  AND  PREPARATION OF GENETIC SAMPLE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0422","description":"COLLECTION  AND  PREPARATION OF GENETIC SAMPLE MATL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION CAPILLARY BLOOD SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36416","description":"COLLECTION CAPILLARY BLOOD SPECIMEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION MICROORGANISMS CULTURE  AND  SENSITIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0415","description":"COLLECTION MICROORGANISMS CULTURE  AND  SENSITIVITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION PHYSIOL DATA DIG STR and /TRNSM PT TO HHA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0322","description":"COLLECTION PHYSIOL DATA DIG STR and /TRNSM PT TO HHA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION VENOUS BLOOD VENIPUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36415","description":"COLLECTION VENOUS BLOOD VENIPUNCTURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLEGEN MATRIX NERVE WRAP PER 0.5 CM LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9361","description":"COLLEGEN MATRIX NERVE WRAP PER 0.5 CM LENGTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLO FLX; PRX SP F;ABL TU P OTH LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6024","description":"COLO FLX; PRX SP F;ABL TU P OTH LES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLO STOMA;ABL TUMOR POLYP OTH LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6019","description":"COLO STOMA;ABL TUMOR POLYP OTH LES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLO-STOMA; TRANSENDO STENT PLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6020","description":"COLO-STOMA; TRANSENDO STENT PLCMT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONIC LAVAGE 35 Plus L WATER W/INDUCED DEFECATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0736T","description":"COLONIC LAVAGE 35 Plus L WATER W/INDUCED DEFECATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY CNSLT PRFRM PRI SCR COLONOSCOPY PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0285","description":"COLONOSCOPY CNSLT PRFRM PRI SCR COLONOSCOPY PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY LESION REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44393","description":"COLONOSCOPY LESION REMOVAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY W STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44397","description":"COLONOSCOPY W STENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY W STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45387","description":"COLONOSCOPY W STENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOR CONTACT LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0514","description":"COLOR CONTACT LENS PER LENS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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; BLOOD-BASED BIOMARK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0327","description":"COLORECTAL CANCER SCREENING; BLOOD-BASED BIOMARK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLORECTAL CANCER SCREENING; BLOOD-BASED BIOMARK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0327","description":"COLORECTAL CANCER SCREENING; BLOOD-BASED BIOMARK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY VAGINAL; MI EXTRAPERITONEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9778","description":"COLPOPEXY VAGINAL; MI EXTRAPERITONEAL APPROACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLUMN CHROMOTOGRAPH ISOTOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82543","description":"COLUMN CHROMOTOGRAPH ISOTOPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLUMN CHROMOTOGRAPH ISOTOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82544","description":"COLUMN CHROMOTOGRAPH ISOTOPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLUMN CHROMOTOGRAPHY QUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82541","description":"COLUMN CHROMOTOGRAPHY QUAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMA STIMULATION PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9056","description":"COMA STIMULATION PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB SIT STAND FRAME/TABLE SYS SEATLIFT FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0637","description":"COMB SIT STAND FRAME/TABLE SYS SEATLIFT FEATURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMISSURE SPLINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5987","description":"COMMISSURE SPLINT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMON CAROTID INTIMA MEDIA THICKNESS STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0126T","description":"COMMON CAROTID INTIMA MEDIA THICKNESS STUDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY PSYC SUPPORTIVE TX PROGM PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0037","description":"COMMUNITY PSYC SUPPORTIVE TX PROGM PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY TRANSITION WAIVER; PER SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2038","description":"COMMUNITY TRANSITION WAIVER; PER SERVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY-ACQUIRED PNEMONIA (CAP) MEASURES GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8546","description":"COMMUNITY-ACQUIRED PNEMONIA (CAP) MEASURES GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY-ACQUIRED PNEUMONIA MG QUAL ACT PERFORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8550","description":"COMMUNITY-ACQUIRED PNEUMONIA MG QUAL ACT PERFORM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP ANIMATION RETINA IMAGE TIME SERIES ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0380T","description":"COMP ANIMATION RETINA IMAGE TIME SERIES ANALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP APC SEQUENCE ANALYSIS FOR SUSCEPIBIL FAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3833","description":"COMP APC SEQUENCE ANALYSIS FOR SUSCEPIBIL FAP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP BRCA1 BRCA2 ANALY SUSCEP BRST AND OVARIAN CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3820","description":"COMP BRCA1 BRCA2 ANALY SUSCEP BRST AND OVARIAN CA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP COMMUNITY SUPPORT SERVICES PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2015","description":"COMP COMMUNITY SUPPORT SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP COMMUNITY SUPPORT SERVICES PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2016","description":"COMP COMMUNITY SUPPORT SERVICES PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP GENE SEQ ANALY HYPERTROPHIC CARDIOMYOPATHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3865","description":"COMP GENE SEQ ANALY HYPERTROPHIC CARDIOMYOPATHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP GERIATRIC ASSESS AND TX PLAN PRFRM ASSESS TEAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0250","description":"COMP GERIATRIC ASSESS AND TX PLAN PRFRM ASSESS TEAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP MGMT  AND  CARE COORD ADVANCED ILL PER CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0311","description":"COMP MGMT  AND  CARE COORD ADVANCED ILL PER CAL MO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP MLH1 AND  MSH2 GENE TEST HNPCC GENETIC TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3830","description":"COMP MLH1 AND  MSH2 GENE TEST HNPCC GENETIC TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP ORTHODONTIC TX TRANSITIONAL DENTITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8070","description":"COMP ORTHODONTIC TX TRANSITIONAL DENTITION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMP SCREEN MAMMOGRAM ADD-ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77052","description":"COMP SCREEN MAMMOGRAM ADD-ON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPACT TRAVEL HEMODIALYZER SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1635","description":"COMPACT TRAVEL HEMODIALYZER SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPANION CARE ADULT ; PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5135","description":"COMPANION CARE ADULT ; PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPANION CARE ADULT ; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5136","description":"COMPANION CARE ADULT ; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPATIBILITY EACH UNIT ELECTRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86923","description":"COMPATIBILITY EACH UNIT ELECTRONIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPATIBILITY EACH UNIT INCUBATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86921","description":"COMPATIBILITY EACH UNIT INCUBATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE AA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4303","description":"COMPLETE AA PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE ACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4302","description":"COMPLETE ACA PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE DENTURE - MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5120","description":"COMPLETE DENTURE - MANDIBULAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE DENTURE - MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5110","description":"COMPLETE DENTURE - MAXILLARY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE GENE SEQUENCE  ANALYSIS MSH2 GENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3829","description":"COMPLETE GENE SEQUENCE  ANALYSIS MSH2 GENE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE GENE SEQUENCE ANALYSIS MLH1 GENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3828","description":"COMPLETE GENE SEQUENCE ANALYSIS MLH1 GENE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE GENE SEQUENCE TEST, CYSTIC FIBROSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3835","description":"COMPLETE GENE SEQUENCE TEST, CYSTIC FIBROSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE SL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4270","description":"COMPLETE SL PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX LYMPHEDEMA THERAPY EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8950","description":"COMPLEX LYMPHEDEMA THERAPY EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS  OVER  16 BUT  UNDER    EQ 48 SQ W O ADHES BO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6201","description":"COMPOS DRESS  OVER  16 BUT  UNDER    EQ 48 SQ W O ADHES BO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS PAD SZ  OVER  48 SQ W O ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6202","description":"COMPOS DRESS PAD SZ  OVER  48 SQ W O ADHES BORDR EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS PAD SZ 16 SQ OR LESS  W O ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6200","description":"COMPOS DRESS PAD SZ 16 SQ OR LESS  W O ADHES BORDR EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOUNDED DRUG NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9977","description":"COMPOUNDED DRUG NOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOUNDED DRUG NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7999","description":"COMPOUNDED DRUG NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE AUDIOM THRESHOLD EVAL  AND  SPEECH RECOG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0212T","description":"COMPRE AUDIOM THRESHOLD EVAL  AND  SPEECH RECOG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL W/L ATRIAL PACG and REC C SINS/L ATR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93621","description":"COMPRE EP EVAL W/L ATRIAL PACG and REC C SINS/L ATR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL W/LEFT VENTRICULAR PACING/REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93622","description":"COMPRE EP EVAL W/LEFT VENTRICULAR PACING/REC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE FUL BDY CPTR MRKRLS 3D KNMTC and KIN MTN ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0693T","description":"COMPRE FUL BDY CPTR MRKRLS 3D KNMTC and KIN MTN ALYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE CONTACT LENS EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0592","description":"COMPREHENSIVE CONTACT LENS EVALUATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE MEDICATION SERVICES PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2010","description":"COMPREHENSIVE MEDICATION SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE MULTIDISCIPLINARY EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2000","description":"COMPREHENSIVE MULTIDISCIPLINARY EVALUATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE ORTHODONTIC TX ADOLES DENTITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8080","description":"COMPREHENSIVE ORTHODONTIC TX ADOLES DENTITION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE ORTHODONTIC TX ADULT DENTITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8090","description":"COMPREHENSIVE ORTHODONTIC TX ADULT DENTITION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRESSION BANDAGE ROLL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8431","description":"COMPRESSION BANDAGE ROLL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRESSION BURN GARMENT NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6512","description":"COMPRESSION BURN GARMENT NOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BRN GARMNT LW TRNK W/LEG OPENING CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6511","description":"COMPRS BRN GARMNT LW TRNK W/LEG OPENING CSTM FAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BRN GARMNT TRNK ARMS TO LEG OPENING CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6510","description":"COMPRS BRN GARMNT TRNK ARMS TO LEG OPENING CSTM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BRN GARMNT UP TRNK WAIST ARM OPENING CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6509","description":"COMPRS BRN GARMNT UP TRNK WAIST ARM OPENING CSTM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BRN MASK FCE  and  OR NCK PLSTC/EQUL CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6513","description":"COMPRS BRN MASK FCE  and  OR NCK PLSTC/EQUL CSTM FAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT BODYSUIT CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6501","description":"COMPRS BURN GARMENT BODYSUIT CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT CHIN STRAP CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6502","description":"COMPRS BURN GARMENT CHIN STRAP CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT FACIAL HOOD CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6503","description":"COMPRS BURN GARMENT FACIAL HOOD CUSTOM FAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT FT KNEE LENGTH CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6507","description":"COMPRS BURN GARMENT FT KNEE LENGTH CUSTOM FAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT FT THIGH LENGTH CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6508","description":"COMPRS BURN GARMENT FT THIGH LENGTH CUSTOM FAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT GLOVE AXILLA CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6506","description":"COMPRS BURN GARMENT GLOVE AXILLA CUSTOM FAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT GLOVE ELB CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6505","description":"COMPRS BURN GARMENT GLOVE ELB CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT GLOVE WRIST CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6504","description":"COMPRS BURN GARMENT GLOVE WRIST CUSTOM FAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTER AIDED DETECTION BREAST MRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0159T","description":"COMPUTER AIDED DETECTION BREAST MRI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTER DX MAMMOGRAM ADD-ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77051","description":"COMPUTER DX MAMMOGRAM ADD-ON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BEAM CT CAP AND INT FD VW 1 FULL DENT ARCH-MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0365","description":"CONE BEAM CT CAP AND INT FD VW 1 FULL DENT ARCH-MAND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BEAM CT CAP and INTEPR LTD FD VIEW- LT 1 WHOLE JAW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0364","description":"CONE BEAM CT CAP and INTEPR LTD FD VIEW- LT 1 WHOLE JAW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BEAM CT CAP and INTEPR TMJ SERIES 2 OR GT  EXPOSURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0368","description":"CONE BEAM CT CAP and INTEPR TMJ SERIES 2 OR GT  EXPOSURES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BEAM CT CAPTURE  AND  INTERP FD VIEW BOTH JAWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0367","description":"CONE BEAM CT CAPTURE  AND  INTERP FD VIEW BOTH JAWS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BEAM CT IMAG CAP FD VW 1 FULL DENT ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0382","description":"CONE BEAM CT IMAG CAP FD VW 1 FULL DENT ARCH-MAX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BEAM CT IMAG CAP TMJ SERIES 2 OR GT  EXPOSURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0384","description":"CONE BEAM CT IMAG CAP TMJ SERIES 2 OR GT  EXPOSURES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BEAM CT IMAG CAP W/LTD FD VIEW- LT 1 WHOLE JAW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0380","description":"CONE BEAM CT IMAG CAP W/LTD FD VIEW- LT 1 WHOLE JAW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BEAM CT IMAGE CAPTURE FIELD VIEW BOTH JAWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0383","description":"CONE BEAM CT IMAGE CAPTURE FIELD VIEW BOTH JAWS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BEAM CT, CRANIOFACIAL DATA CAPTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0360","description":"CONE BEAM CT, CRANIOFACIAL DATA CAPTURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BEAM, TWO DIMENSIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0362","description":"CONE BEAM, TWO DIMENSIONAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BM 3-D RECNS XST DATA MX IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0363","description":"CONE BM 3-D RECNS XST DATA MX IMAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BM CT CAP AND INT FD VIEW 1 FULL DENT ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0366","description":"CONE BM CT CAP AND INT FD VIEW 1 FULL DENT ARCH-MAX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONE BM CT IMAG CAP FD VW 1 FULL DENT ARCH-MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0381","description":"CONE BM CT IMAG CAP FD VW 1 FULL DENT ARCH-MAND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONJUNCTVL INC W POST XTRSCLERA PLCMT PHARM AGNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0124T","description":"CONJUNCTVL INC W POST XTRSCLERA PLCMT PHARM AGNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONNECTIVE TISSUE HUMAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1762","description":"CONNECTIVE TISSUE HUMAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONNECTIVE TISSUE NON-HUMAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1763","description":"CONNECTIVE TISSUE NON-HUMAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76140","description":"CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSULT DX SERV DENT/PHY NOT REQUESTING DENT/PHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9310","description":"CONSULT DX SERV DENT/PHY NOT REQUESTING DENT/PHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSULT INCL PREP SLIDES BX MATL SPL REF SRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0485","description":"CONSULT INCL PREP SLIDES BX MATL SPL REF SRC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSULTATION ON SLIDES PREPARED ELSEWHERE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0484","description":"CONSULTATION ON SLIDES PREPARED ELSEWHERE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSULTATION W/MEDICAL HEALTH CARE PROFESSIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9311","description":"CONSULTATION W/MEDICAL HEALTH CARE PROFESSIONAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT IP MNTR and IVNTJ PSYCHEDELIC MED THERAPY 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0820T","description":"CONT IP MNTR and IVNTJ PSYCHEDELIC MED THERAPY 1ST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT IP MNTR and IVNTJ PSYCHEDELIC MED THERAPY 2ND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0821T","description":"CONT IP MNTR and IVNTJ PSYCHEDELIC MED THERAPY 2ND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT IP MNTR and IVNTJ PSYCHEDELIC MED THERAPY STAFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0822T","description":"CONT IP MNTR and IVNTJ PSYCHEDELIC MED THERAPY STAFF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT MSR BRONCHODIL WHEEZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0244T","description":"CONT MSR BRONCHODIL WHEEZE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT NONINVAS GLU MON DEVC RENTAL SENSOR REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1031","description":"CONT NONINVAS GLU MON DEVC RENTAL SENSOR REPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT NONINVASIVE GLU MONITORING DEVICE PURCHASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1030","description":"CONT NONINVASIVE GLU MONITORING DEVICE PURCHASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT PASSIVE MOTION EXERCISE DEVC OTH THAN KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0936","description":"CONT PASSIVE MOTION EXERCISE DEVC OTH THAN KNEE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT REC MVMT DO SX 6 D LT 10 D 1ST REPRT CNFIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0535T","description":"CONT REC MVMT DO SX 6 D LT 10 D 1ST REPRT CNFIG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT REC MVMT DO SX 6 D LT 10 D DL REVIEW I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0536T","description":"CONT REC MVMT DO SX 6 D LT 10 D DL REVIEW I and R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT REC MVMT DO SX 6 D LT 10 D SETUP  and  PT TRAINJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0534T","description":"CONT REC MVMT DO SX 6 D LT 10 D SETUP  and  PT TRAINJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTACT LENS OTHER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2599","description":"CONTACT LENS OTHER TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS REC MVMT DO SX 6 D LT 10 D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0533T","description":"CONTINUOUS REC MVMT DO SX 6 D LT 10 D","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPT SUPPLY HORMONE CONTAINING VAG RING EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7303","description":"CONTRACEPT SUPPLY HORMONE CONTAINING VAG RING EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACT HOME HEALTH SRVC UNDER CONTRACT DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1022","description":"CONTRACT HOME HEALTH SRVC UNDER CONTRACT DAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACTS REPAIR AND MAINTENANCE HEMODIAL EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4890","description":"CONTRACTS REPAIR AND MAINTENANCE HEMODIAL EQUIPMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRAST X-RAY OF BILE DUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74320","description":"CONTRAST X-RAY OF BILE DUCTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRAST X-RAY OF LARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70373","description":"CONTRAST X-RAY OF LARYNX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRAST X-RAYS GALLBLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74291","description":"CONTRAST X-RAYS GALLBLADDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL POSTOP BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52606","description":"CONTROL POSTOP BLEEDING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL UNIT ELEC BOWEL IRRIGATION/EVAC SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0350","description":"CONTROL UNIT ELEC BOWEL IRRIGATION/EVAC SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONVRT NEPHROSTMY CATH TO NEPHROURETRL CATH PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7547","description":"CONVRT NEPHROSTMY CATH TO NEPHROURETRL CATH PERQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE HOME MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9006","description":"COORDINATED CARE FEE HOME MONITORING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE INITIAL RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9001","description":"COORDINATED CARE FEE INITIAL RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE MAINTENANCE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9002","description":"COORDINATED CARE FEE MAINTENANCE RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9003","description":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9004","description":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9005","description":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPD PATIENT NOT ELIGIBLE FOR SPIROMETRY RESULTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8294","description":"COPD PATIENT NOT ELIGIBLE FOR SPIROMETRY RESULTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPD PATIENT WITH SPIROMETRY RESULTS DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8292","description":"COPD PATIENT WITH SPIROMETRY RESULTS DOCUMENTED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPD PT DOC RECV INHALED BRONCHODILATOR THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8295","description":"COPD PT DOC RECV INHALED BRONCHODILATOR THERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPD PT NOT DOC INHAL BRONCHDIL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8296","description":"COPD PT NOT DOC INHAL BRONCHDIL TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPD PT NOT ELIG INHALED BRONCHODILATOR THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8297","description":"COPD PT NOT ELIG INHALED BRONCHODILATOR THERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPD PT W O SPIROMETRY RESULTS DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8293","description":"COPD PT W O SPIROMETRY RESULTS DOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6975","description":"COPING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"C9068","description":"COPPER CU-64 DOTATATE DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COPY NUMBER SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0156U","description":"COPY NUMBER SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COR FFR DERIVED CTA DATA PREP  AND  TRANSMIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0502T","description":"COR FFR DERIVED CTA DATA PREP  AND  TRANSMIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORD BLD-DERIVED STEM-CELL TPLNT ALLOGENEIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2142","description":"CORD BLD-DERIVED STEM-CELL TPLNT ALLOGENEIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORD BLOOD HARVESTING TRANSPLANTATION ALLOGENEIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2140","description":"CORD BLOOD HARVESTING TRANSPLANTATION ALLOGENEIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORE BUILD UP FOR RETAINER, INCL ANY PINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6973","description":"CORE BUILD UP FOR RETAINER, INCL ANY PINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORE BUILDUP INCLUDING ANY PINS WHEN REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2950","description":"CORE BUILDUP INCLUDING ANY PINS WHEN REQUIRED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORECYTE FOR TOPICAL USE ONLY PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4240","description":"CORECYTE FOR TOPICAL USE ONLY PER 0.5 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORNEA INCISNS RECIPIENT CORNEA W/LASR KERTPLSTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0290T","description":"CORNEA INCISNS RECIPIENT CORNEA W/LASR KERTPLSTY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORNEAL HYSTERESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0181T","description":"CORNEAL HYSTERESIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECT VISUAL ACUIT 20/40 OR GT  W/IN 90 DAYS SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4175F","description":"CORRECT VISUAL ACUIT 20/40 OR GT  W/IN 90 DAYS SURG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION OF BUNION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28290","description":"CORRECTION OF BUNION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION OF BUNION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28293","description":"CORRECTION OF BUNION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION OF BUNION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28294","description":"CORRECTION OF BUNION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRG TUBING NON-DISP NEB USE 10 FT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7011","description":"CORRG TUBING NON-DISP NEB USE 10 FT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOTOMY-FOUR OR MORE TEETH/TOOTH SP PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7297","description":"CORTICOTOMY-FOUR OR MORE TEETH/TOOTH SP PER QUAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOTOMY-ONE TO THREE TEETH/TOOTH SP PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7296","description":"CORTICOTOMY-ONE TO THREE TEETH/TOOTH SP PER QUAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DIET  AND  PHYS ACT PERFORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8780","description":"COUNSELING DIET  AND  PHYS ACT PERFORM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTR DBS ALYS MLT CYCLS CAR ELEC DTA 2 OR GRT  ECG LDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0206T","description":"CPTR DBS ALYS MLT CYCLS CAR ELEC DTA 2 OR GRT  ECG LDS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTR-ASST DIR MS PX  PRE IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20987","description":"CPTR-ASST DIR MS PX  PRE IMG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPTR-ASST DIR MS PX IO IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20986","description":"CPTR-ASST DIR MS PX IO IMG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIAL ELECTROTHERAPY STIM SYSTEM ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1002","description":"CRANIAL ELECTROTHERAPY STIM SYSTEM ANY TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5924","description":"CRANIAL PROSTHESIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRD C HRT DS 9 GEN 12 VRNTS TRGT VRNT GNOTYP ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0401U","description":"CRD C HRT DS 9 GEN 12 VRNTS TRGT VRNT GNOTYP ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREAT SUBQ PKT INSRT 180 D IMPL INTERST GLU SNSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0308","description":"CREAT SUBQ PKT INSRT 180 D IMPL INTERST GLU SNSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATE ANAL LESIONS BY RADIOFREQUENCY ENERGY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9716","description":"CREATE ANAL LESIONS BY RADIOFREQUENCY ENERGY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATION AV FISTULA PERCUTANEOUS; DIRCT ANY SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9754","description":"CREATION AV FISTULA PERCUTANEOUS; DIRCT ANY SITE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATION OF ARTERIOVENOUS FISTULA PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9755","description":"CREATION OF ARTERIOVENOUS FISTULA PERCUTANEOUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRISIS INTERVEN MENTAL HEALTH SERVICES PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9484","description":"CRISIS INTERVEN MENTAL HEALTH SERVICES PER HOUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRISIS INTERVENT MENTAL HEALTH SERV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9485","description":"CRISIS INTERVENT MENTAL HEALTH SERV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRISIS INTERVENTION SERVICE PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2011","description":"CRISIS INTERVENTION SERVICE PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRISIS INTERVENTION WAIVER; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2034","description":"CRISIS INTERVENTION WAIVER; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC IMPLTJ NSTIM ELTRD CEREBELLAR CORTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61870","description":"CRNEC IMPLTJ NSTIM ELTRD CEREBELLAR CORTICAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SUBOCPTL MESENCEPHAL TRCOTOMY PEDUNCULOTMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61480","description":"CRNEC SUBOCPTL MESENCEPHAL TRCOTOMY PEDUNCULOTMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7632","description":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROTALIDAE POLYVALENT IMMUNE FAB, 1 VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9274","description":"CROTALIDAE POLYVALENT IMMUNE FAB, 1 VIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN - PORCELAIN FUSED TO TIT  AND  TIT ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2753","description":"CROWN - PORCELAIN FUSED TO TIT  AND  TIT ALLOYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROWN REPAIR NECESSITATED RESTORATIVE MATL FAIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2980","description":"CROWN REPAIR NECESSITATED RESTORATIVE MATL FAIL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH SUBST LOWER LEG PLATFORM W/WO WHEELS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0118","description":"CRUTCH SUBST LOWER LEG PLATFORM W/WO WHEELS EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYO-CORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4237","description":"CRYO-CORD PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRECIPIT FIBRINOGEN CMPL PATHGEN REDUC EA UN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9026","description":"CRYOPRECIPIT FIBRINOGEN CMPL PATHGEN REDUC EA UN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRES FREEZING AND STOR CELLS TX USE EA CELL LINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0265","description":"CRYOPRES FREEZING AND STOR CELLS TX USE EA CELL LINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRESERVATION IMMATURE OOCYTE(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0357T","description":"CRYOPRESERVATION IMMATURE OOCYTE(S)","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRESERVATION MATURE OOCYTE(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89337","description":"CRYOPRESERVATION MATURE OOCYTE(S)","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRESERVATION OOCYTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0059T","description":"CRYOPRESERVATION OOCYTE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRESERVATION REPRODUCTIVE TISSUE OVARIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0058T","description":"CRYOPRESERVATION REPRODUCTIVE TISSUE OVARIAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRESERVED EMBRYO TRANSFER CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4037","description":"CRYOPRESERVED EMBRYO TRANSFER CASE RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRSRV EMBRYO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89258","description":"CRYOPRSRV EMBRYO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRSRV REPRODUCTIVE TISSUE TESTICULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89335","description":"CRYOPRSRV REPRODUCTIVE TISSUE TESTICULAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOPRSRV SPRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89259","description":"CRYOPRSRV SPRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOTHERAPY OF RECTAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46937","description":"CRYOTHERAPY OF RECTAL LESION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOTHERAPY OF RECTAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46938","description":"CRYOTHERAPY OF RECTAL LESION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CS URS and /PYELOSCPY LITH  and  VAC ASPIR K COLL SYS and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9761","description":"CS URS and /PYELOSCPY LITH  and  VAC ASPIR K COLL SYS and","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTM FAB WC BACK CUSHN ANY SZ ANY MOUNT HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2617","description":"CSTM FAB WC BACK CUSHN ANY SZ ANY MOUNT HARDWARE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT BONE MINERAL DENSITY STUDY 1 PLUS  SITS APPND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77079","description":"CT BONE MINERAL DENSITY STUDY 1 PLUS  SITS APPND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT BREAST W/3D RENDERING BI WITH CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0637T","description":"CT BREAST W/3D RENDERING BI WITH CONTRAST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT BREAST W/3D RENDERING BI WITHOUT CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0636T","description":"CT BREAST W/3D RENDERING BI WITHOUT CONTRAST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT BREAST W/3D RENDERING UNI WITH CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0634T","description":"CT BREAST W/3D RENDERING UNI WITH CONTRAST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT BREAST W/3D RENDERING UNI WITHOUT CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0633T","description":"CT BREAST W/3D RENDERING UNI WITHOUT CONTRAST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT BRST W/3D RENDERING BI WO CNTRST FLWD CNTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0638T","description":"CT BRST W/3D RENDERING BI WO CNTRST FLWD CNTRST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT BRST W/3D RENDERING UNI WO CNTRST FLWD CNTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0635T","description":"CT BRST W/3D RENDERING UNI WO CNTRST FLWD CNTRST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRAPHY;DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0067T","description":"CT COLONOGRAPHY;DX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT COLONOGRAPHY;SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0066T","description":"CT COLONOGRAPHY;SCREEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART FUNCT ADD-ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0151T","description":"CT HEART FUNCT ADD-ON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART W WO DYE FUNCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0145T","description":"CT HEART W WO DYE FUNCT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART WO DYE; QUAL CALC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0144T","description":"CT HEART WO DYE; QUAL CALC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT NOT RPT RAD DO INDX REG MED RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9325","description":"CT NOT RPT RAD DO INDX REG MED RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PARANASAL SINUS NOT ORD TM DX/IN 28 DA AFTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9350","description":"CT PARANASAL SINUS NOT ORD TM DX/IN 28 DA AFTR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PERF NOT RPT RAD DOSE INDX REG RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9326","description":"CT PERF NOT RPT RAD DOSE INDX REG RSN NOT GVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PERF RPT RAD DOSE INDX REG ALL DATA ELEMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9327","description":"CT PERF RPT RAD DOSE INDX REG ALL DATA ELEMENTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PL COR A CATH PL BPG AG IL and /FA AG NS BIL/IPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7520","description":"CT PL COR A CATH PL BPG AG IL and /FA AG NS BIL/IPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SCAN FOR PURPOSE BIOMECHANICAL CT ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0558T","description":"CT SCAN FOR PURPOSE BIOMECHANICAL CT ANALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SCAN PARANASAL SINUS ORD TM DX/RECV 28 DA DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9349","description":"CT SCAN PARANASAL SINUS ORD TM DX/RECV 28 DA DX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SCAN PARANASAL SINUSES ORDERD TIME DX DOC RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9348","description":"CT SCAN PARANASAL SINUSES ORDERD TIME DX DOC RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL OOCYTE/EMBRYO  LT  4 D CO-CULT OCYTE/EMBRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89251","description":"CUL OOCYTE/EMBRYO  LT  4 D CO-CULT OCYTE/EMBRY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL OOCYTE/EMBRYO  LT 4 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89250","description":"CUL OOCYTE/EMBRYO  LT 4 DAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"G8456","description":"CURRENT SMOKELESS TOBACCO USER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT SMOKELESS TOBACCO, NO 2ND HAND EXPOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8692","description":"CURRENT SMOKELESS TOBACCO, NO 2ND HAND EXPOSURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NONUSER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8457","description":"CURRENT TOBACCO NONUSER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"G8455","description":"CURRENT TOBACCO SMOKER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRENT TOBACCO SMOKER OR 2ND HAND EXPOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8690","description":"CURRENT TOBACCO SMOKER OR 2ND HAND EXPOSURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURRNT PERCEPT THRESHOLD/SNCT PER LIMB ANY NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0255","description":"CURRNT PERCEPT THRESHOLD/SNCT PER LIMB ANY NERVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM FABRICATED WHEELCHAIR SEAT CUSHION SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2609","description":"CUSTOM FABRICATED WHEELCHAIR SEAT CUSHION SIZE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM MANUAL WHEELCHAIR/BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0008","description":"CUSTOM MANUAL WHEELCHAIR/BASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM MOTORIZED/POWER WHEELCHAIR BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0013","description":"CUSTOM MOTORIZED/POWER WHEELCHAIR BASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOMIZED DME OTHER THAN WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0900","description":"CUSTOMIZED DME OTHER THAN WHEELCHAIR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOMIZED ITEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1002","description":"CUSTOMIZED ITEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV DS PLSM ALYS PRTN BMRK APTAMR-BSD MICRORA and ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0019M","description":"CV DS PLSM ALYS PRTN BMRK APTAMR-BSD MICRORA and ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV DS PLSM ALYS PRTN BMRK APTAMR-BSD MICRORA and ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0019M","description":"CV DS PLSM ALYS PRTN BMRK APTAMR-BSD MICRORA and ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLER DIALYSIS MACHINE FOR PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1594","description":"CYCLER DIALYSIS MACHINE FOR PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOPHOSPHAMIDE 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9091","description":"CYCLOPHOSPHAMIDE 1 G","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOPHOSPHAMIDE 2 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9092","description":"CYCLOPHOSPHAMIDE 2 G","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOPHOSPHAMIDE 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9080","description":"CYCLOPHOSPHAMIDE 200 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOPHOSPHAMIDE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9090","description":"CYCLOPHOSPHAMIDE 500 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOPHOSPHAMIDE LYOPHILIZED 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9096","description":"CYCLOPHOSPHAMIDE LYOPHILIZED 1 G","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOPHOSPHAMIDE LYOPHILIZED 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9093","description":"CYCLOPHOSPHAMIDE LYOPHILIZED 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOPHOSPHAMIDE LYOPHILIZED 2 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9097","description":"CYCLOPHOSPHAMIDE LYOPHILIZED 2 G","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOPHOSPHAMIDE LYOPHILIZED 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9094","description":"CYCLOPHOSPHAMIDE LYOPHILIZED 200 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOPHOSPHAMIDE LYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9095","description":"CYCLOPHOSPHAMIDE LYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYGNUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4170","description":"CYGNUS PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP2D6 GENE COPY NUMBER CMN VRNTS TRGT SEQ ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0028U","description":"CYP2D6 GENE COPY NUMBER CMN VRNTS TRGT SEQ ALYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYST RNL LES/AD LES LT or equal to 1.0 CM OR GT 1.0 CM BUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9547","description":"CYST RNL LES/AD LES LT or equal to 1.0 CM OR GT 1.0 CM BUT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/DIL  and  URTL RX DEL F/URTL STRIX/STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0499T","description":"CYSTO W/DIL  and  URTL RX DEL F/URTL STRIX/STENOSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URETERSCPY and /PYELSCPY;LASR TX URETRL CALC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2070","description":"CYSTO W/URETERSCPY and /PYELSCPY;LASR TX URETRL CALC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSC ADJTV BLU LGT CYSTO FLUOR IMG AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7554","description":"CYSTOURETHROSC ADJTV BLU LGT CYSTO FLUOR IMG AGT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTURETHRSCPY INSRT TRANSPROSTAT IMPL; 1-3 IMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9739","description":"CYSTURETHRSCPY INSRT TRANSPROSTAT IMPL; 1-3 IMPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTURETHRSCPY INSRT TRANSPROSTAT IMPL; 4 OR GT  IMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9740","description":"CYSTURETHRSCPY INSRT TRANSPROSTAT IMPL; 4 OR GT  IMPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTURTHRSCPY BX ADJTV BLU LGT CYSTO FLUO IM AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7550","description":"CYSTURTHRSCPY BX ADJTV BLU LGT CYSTO FLUO IM AGT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTAL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4166","description":"CYTAL PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOMEGALOVIRUS IMMUNE GLOBULIN HUMAN IV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90291","description":"CYTOMEGALOVIRUS IMMUNE GLOBULIN HUMAN IV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FLU BR WA XCPT C V SMRS AND FILTER INTERPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88107","description":"CYTP FLU BR WA XCPT C V SMRS AND FILTER INTERPJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C V MNL SCR AND CPTR-RESCR CELL S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88154","description":"CYTP SLIDES C V MNL SCR AND CPTR-RESCR CELL S AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"D/C AMI BTW JULY 1 YEAR PRI MSR TO JUNE 30 MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9798","description":"D/C AMI BTW JULY 1 YEAR PRI MSR TO JUNE 30 MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"M1015","description":"D/C/DISCONT EPISODE OF CARE DOC MEDICAL RECORD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DACARBAZINE 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9140","description":"DACARBAZINE 200 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DAILY WEAR SPECIALTY CONTACT LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0512","description":"DAILY WEAR SPECIALTY CONTACT LENS PER LENS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DAY CARE SERVICES ADULT; PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5100","description":"DAY CARE SERVICES ADULT; PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DAY CARE SERVICES ADULT; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5102","description":"DAY CARE SERVICES ADULT; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DAY CARE SERVICES ADULT; PER HALF DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5101","description":"DAY CARE SERVICES ADULT; PER HALF DAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DAY HABILITATION WAIVER; PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2021","description":"DAY HABILITATION WAIVER; PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DAY HABILITATION WAIVER; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2020","description":"DAY HABILITATION WAIVER; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DB PT BP  EQ  OR GRT  140 SYST OR  EQ  OR GRT  80 DIAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8023","description":"DB PT BP  EQ  OR GRT  140 SYST OR  EQ  OR GRT  80 DIAS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DB PT MOST REC HGB A1C DOC  UNDER    EQ  9PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8016","description":"DB PT MOST REC HGB A1C DOC  UNDER    EQ  9PCT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DB PT MOST REC HGB A1C LEVL DOC  OVER  9PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8015","description":"DB PT MOST REC HGB A1C LEVL DOC  OVER  9PCT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DB PT REC BP  UNDER  140 SYST  AND   UNDER  80 DIAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8024","description":"DB PT REC BP  UNDER  140 SYST  AND   UNDER  80 DIAS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DC MD R NO STATN TX U RCV ORD STATN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9667","description":"DC MD R NO STATN TX U RCV ORD STATN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEATH DID NOT OCCUR DURING INDEX ACUTE CARE HOSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9815","description":"DEATH DID NOT OCCUR DURING INDEX ACUTE CARE HOSP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEATH NOT OCR AFT D/C HOS W/I 30 DAYS POST PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9817","description":"DEATH NOT OCR AFT D/C HOS W/I 30 DAYS POST PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEATH OCR AFTR D/C HOSP BUT W/I 30 D POST PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9816","description":"DEATH OCR AFTR D/C HOSP BUT W/I 30 D POST PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEATH OCR DUR INDEX ACUTE CARE HOSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9814","description":"DEATH OCR DUR INDEX ACUTE CARE HOSP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEATH PERM NH RES HSPC PC T MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9433","description":"DEATH PERM NH RES HSPC PC T MSR PRD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBR BN 1ST 20 SQ CM OR GT  M PREP  and  INS D RX-DEL DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7500","description":"DEBR BN 1ST 20 SQ CM OR GT  M PREP  and  INS D RX-DEL DEV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDE SKIN, FULL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11041","description":"DEBRIDE SKIN, FULL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDE SKIN, PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11040","description":"DEBRIDE SKIN, PARTIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECALCIFICATION PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0475","description":"DECALCIFICATION PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECIS MKR ADVNCD PLAN DOC'D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1080F","description":"DECIS MKR ADVNCD PLAN DOC'D","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECLOT VASCULAR DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36550","description":"DECLOT VASCULAR DEVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMP PERQ INTERVERT DISC RF ENERGY 1/MX LUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2348","description":"DECOMP PERQ INTERVERT DISC RF ENERGY 1/MX LUMB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECORONATION/SUBMG ERUPTED TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3921","description":"DECORONATION/SUBMG ERUPTED TOOTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEIONIZER WATER PURIFICATION SYSTEM HEMODIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1615","description":"DEIONIZER WATER PURIFICATION SYSTEM HEMODIALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEL/SRVC HI RISK REQ ESCORT/EXTRA PROTECT VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9381","description":"DEL/SRVC HI RISK REQ ESCORT/EXTRA PROTECT VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIV  AND OR INSTL CHARGES HEMODIAL EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1600","description":"DELIV  AND OR INSTL CHARGES HEMODIAL EQUIPMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY COMP IMRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0073T","description":"DELIVERY COMP IMRT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELUXE FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2025","description":"DELUXE FRAME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELUXE ITEM PATIENT AWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1001","description":"DELUXE ITEM PATIENT AWARE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELUXE LENS FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2702","description":"DELUXE LENS FEATURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENGUE VACC QUAD LIVE 2 DOSE SCHEDULE SUBQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90584","description":"DENGUE VACC QUAD LIVE 2 DOSE SCHEDULE SUBQ USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENGUE VACC QUAD LIVE 3 DOSE SCHEDULE SUBQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90587","description":"DENGUE VACC QUAD LIVE 3 DOSE SCHEDULE SUBQ USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENIS-BROWNE SPLINT STRAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29590","description":"DENIS-BROWNE SPLINT STRAPPING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTAL CASE MANAGEMENT - CARE COORDINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9992","description":"DENTAL CASE MANAGEMENT - CARE COORDINATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTAL CASE MANAGEMENT - MOTIVATIONAL INTV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9993","description":"DENTAL CASE MANAGEMENT - MOTIVATIONAL INTV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTAL CASE MGMT - ADDRESSING APPT CA BARRIERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9991","description":"DENTAL CASE MGMT - ADDRESSING APPT CA BARRIERS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTAL CASE MGMT - PT ED IMP ORAL HEALTH LITRACY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9994","description":"DENTAL CASE MGMT - PT ED IMP ORAL HEALTH LITRACY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DENTAL CASE MGMT - PTS SPECIAL HEALTH CARE NEEDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9997","description":"DENTAL CASE MGMT - PTS SPECIAL HEALTH CARE NEEDS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 AND EPID SUBST TISSUE NONHUMN ORIGIN SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7343","description":"DERM AND EPID SUBST TISSUE NONHUMN ORIGIN SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM INJ FACL LDS RADIESSE SCULPTRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9800","description":"DERM INJ FACL LDS RADIESSE SCULPTRA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM SUBST NAT NONDNTR COL FET BOV PER 0.5 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9358","description":"DERM SUBST NAT NONDNTR COL FET BOV PER 0.5 SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM SUBST NAT NONDNTRD COL NEO BOV ORIG 0.5  CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9360","description":"DERM SUBST NAT NONDNTRD COL NEO BOV ORIG 0.5  CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM SUBST TISS H ORIG W O METAB ELEM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7344","description":"DERM SUBST TISS H ORIG W O METAB ELEM PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM TISS HUMN INJECTBL W O METAB ACTV ELEM 1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7346","description":"DERM TISS HUMN INJECTBL W O METAB ACTV ELEM 1 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM TISS NH ORIG PRIMATRIX SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7349","description":"DERM TISS NH ORIG PRIMATRIX SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM TISS NH ORIG TISSUEMEND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7348","description":"DERM TISS NH ORIG TISSUEMEND PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERM TISS NH ORIGIN W METABL ACTIVE ELEM SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7341","description":"DERM TISS NH ORIGIN W METABL ACTIVE ELEM SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMA-GIDE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4203","description":"DERMA-GIDE PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND CH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4288","description":"DERMABIND CH PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND DL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4287","description":"DERMABIND DL PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABIND SL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4284","description":"DERMABIND SL PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMACLL DERMACLL AWM/DERMACLL AWM POROUS P SC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4122","description":"DERMACLL DERMACLL AWM/DERMACLL AWM POROUS P SC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL SUB GRANULATED COLLAGEN  AND  GAG MATRIX  1CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9357","description":"DERMAL SUB GRANULATED COLLAGEN  AND  GAG MATRIX  1CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL TISS NH ORIG INTEGRA MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7347","description":"DERMAL TISS NH ORIG INTEGRA MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAVEST AND PLURIVEST PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4153","description":"DERMAVEST AND PLURIVEST PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEST REDUC MALIG BRST TUMR W US THRMORX GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0301T","description":"DEST REDUC MALIG BRST TUMR W US THRMORX GUIDANCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUC IO BASIVERTEB NERV 1ST 2 VERT B LUMB/SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9752","description":"DESTRUC IO BASIVERTEB NERV 1ST 2 VERT B LUMB/SAC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUC IO BASIVERTEB NERV EA ADD VERT BODY L/S","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9753","description":"DESTRUC IO BASIVERTEB NERV EA ADD VERT BODY L/S","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION OF HEMORRHOIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46934","description":"DESTRUCTION OF HEMORRHOIDS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION OF HEMORRHOIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46935","description":"DESTRUCTION OF HEMORRHOIDS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION OF HEMORRHOIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46936","description":"DESTRUCTION OF HEMORRHOIDS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION OF TUMOR, BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0061T","description":"DESTRUCTION OF TUMOR, BREAST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETCJ IA MEDS SBST SUPPL  AND  FOODS 120 PLUS  ANALYTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0006U","description":"DETCJ IA MEDS SBST SUPPL  AND  FOODS 120 PLUS  ANALYTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETECT UR INFECT AGNT W CPAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0041T","description":"DETECT UR INFECT AGNT W CPAS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETER AIRWY CLOSING VOL 1 BRTH TSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94370","description":"DETER AIRWY CLOSING VOL 1 BRTH TSTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETER MALDISTRIBJ OF INSPIRED GAS N WSHOT CURVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94350","description":"DETER MALDISTRIBJ OF INSPIRED GAS N WSHOT CURVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETER RESIST TO AIRFLO OSCILLATORY PLETHYSMOGRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94360","description":"DETER RESIST TO AIRFLO OSCILLATORY PLETHYSMOGRAP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETERMINATION OF VENOUS PRESSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93770","description":"DETERMINATION OF VENOUS PRESSURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETERMINATIVE HISTOCHEMISTRY ID CHEM COMPONENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88318","description":"DETERMINATIVE HISTOCHEMISTRY ID CHEM COMPONENTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEV INTERR PRGRMG IO RTA ELTRD RA W/ADJ  and  REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0472T","description":"DEV INTERR PRGRMG IO RTA ELTRD RA W/ADJ  and  REPRT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEV INTERR REPRGRMG IO RTA ELTRD RA W/REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0473T","description":"DEV INTERR REPRGRMG IO RTA ELTRD RA W/REPRT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPED POSTOP RENAL FAILURE/REQ DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8575","description":"DEVELOPED POSTOP RENAL FAILURE/REQ DIALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENT OF COGNITIVE SKILLS EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97532","description":"DEVELOPMENT OF COGNITIVE SKILLS EACH 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL TESTING W INTERP  AND  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96111","description":"DEVELOPMENTAL TESTING W INTERP  AND  REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96112","description":"DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":190.0444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":190.0444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96113","description":"DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXA BODY COMPOSITION STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0028T","description":"DEXA BODY COMPOSITION STUDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7637","description":"DEXAMETHASONE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXAMETHASONE INHAL COMP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7638","description":"DEXAMETHASONE INHAL COMP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"C9048","description":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXTROAMPHETAMINE SULFATE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0160","description":"DEXTROAMPHETAMINE SULFATE 5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLAS MCRSCP SLD SPEC STN GRP III NZM CONST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0759T","description":"DGTZ GLAS MCRSCP SLD SPEC STN GRP III NZM CONST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP CERVICAL OR VAGINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0831T","description":"DGTZ GLASS MCRSCP SLD CYTP CERVICAL OR VAGINAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP CONCTRJ TQ SMR and INTERP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0829T","description":"DGTZ GLASS MCRSCP SLD CYTP CONCTRJ TQ SMR and INTERP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP FNA IMMT 1ST EPSD EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0835T","description":"DGTZ GLASS MCRSCP SLD CYTP FNA IMMT 1ST EPSD EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP FNA IMMT EA SEP ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0836T","description":"DGTZ GLASS MCRSCP SLD CYTP FNA IMMT EA SEP ADDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP FNA INTERPJ and REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0837T","description":"DGTZ GLASS MCRSCP SLD CYTP FNA INTERPJ and REPRT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP SLCTV CELL NHNCMNT TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0830T","description":"DGTZ GLASS MCRSCP SLD CYTP SLCTV CELL NHNCMNT TQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP SMEARS W/INTERPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0827T","description":"DGTZ GLASS MCRSCP SLD CYTP SMEARS W/INTERPJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP SMPL FLTR METH INTERP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0828T","description":"DGTZ GLASS MCRSCP SLD CYTP SMPL FLTR METH INTERP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP SMR OTH SRC EXTND STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0834T","description":"DGTZ GLASS MCRSCP SLD CYTP SMR OTH SRC EXTND STD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP SMR OTH SRC PREP SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0833T","description":"DGTZ GLASS MCRSCP SLD CYTP SMR OTH SRC PREP SCR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD CYTP SMR OTH SRC SCR and NTRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0832T","description":"DGTZ GLASS MCRSCP SLD CYTP SMR OTH SRC SCR and NTRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD IMHCHEM/IMCYTCHM 1ST 1STN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0760T","description":"DGTZ GLASS MCRSCP SLD IMHCHEM/IMCYTCHM 1ST 1STN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD IMHCHEM/IMCYTCHM EA ADDL 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0761T","description":"DGTZ GLASS MCRSCP SLD IMHCHEM/IMCYTCHM EA ADDL 1","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD LEVEL II SURG PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0751T","description":"DGTZ GLASS MCRSCP SLD LEVEL II SURG PATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD LEVEL III SURG PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0752T","description":"DGTZ GLASS MCRSCP SLD LEVEL III SURG PATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD LEVEL IV SURG PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0753T","description":"DGTZ GLASS MCRSCP SLD LEVEL IV SURG PATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD LEVEL V SURG PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0754T","description":"DGTZ GLASS MCRSCP SLD LEVEL V SURG PATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD LEVEL VI SURG PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0755T","description":"DGTZ GLASS MCRSCP SLD LEVEL VI SURG PATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD M/PHMTRC ALYS TUM IMHCHEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0763T","description":"DGTZ GLASS MCRSCP SLD M/PHMTRC ALYS TUM IMHCHEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD SPEC STAIN GRP I MICROORG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0756T","description":"DGTZ GLASS MCRSCP SLD SPEC STAIN GRP I MICROORG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD SPEC STAIN GRP II ALL OTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0757T","description":"DGTZ GLASS MCRSCP SLD SPEC STAIN GRP II ALL OTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLASS MCRSCP SLD SPEC STAIN HCHEM STAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0758T","description":"DGTZ GLASS MCRSCP SLD SPEC STAIN HCHEM STAIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD BLOOD SMEAR PERIPHERAL I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0854T","description":"DGTZ GLS MCRSCP SLD BLOOD SMEAR PERIPHERAL I and R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD BONE MARROW SMEAR INTERPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0855T","description":"DGTZ GLS MCRSCP SLD BONE MARROW SMEAR INTERPJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD CNSLT and REPRT REF MAT PREP SLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0839T","description":"DGTZ GLS MCRSCP SLD CNSLT and REPRT REF MAT PREP SLD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD CNSLT and REPRT REF SLD PREP ELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0838T","description":"DGTZ GLS MCRSCP SLD CNSLT and REPRT REF SLD PREP ELS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD ELECTRON MICROSCOPY DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0856T","description":"DGTZ GLS MCRSCP SLD ELECTRON MICROSCOPY DX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD FOR CONSLTJ COMPREHENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0840T","description":"DGTZ GLS MCRSCP SLD FOR CONSLTJ COMPREHENSIVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD IMFLUOR 1ST SINGLE ANTB STN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0845T","description":"DGTZ GLS MCRSCP SLD IMFLUOR 1ST SINGLE ANTB STN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD IMFLUOR EACH ADDL 1 ANTB STN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0846T","description":"DGTZ GLS MCRSCP SLD IMFLUOR EACH ADDL 1 ANTB STN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD IMHCHEM/IMCTCHM EA MULT ANTB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0762T","description":"DGTZ GLS MCRSCP SLD IMHCHEM/IMCTCHM EA MULT ANTB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD ISH 1ST SINGLE PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0848T","description":"DGTZ GLS MCRSCP SLD ISH 1ST SINGLE PROBE STAIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD ISH EA ADDL 1 PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0849T","description":"DGTZ GLS MCRSCP SLD ISH EA ADDL 1 PROBE STAIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD ISH EA MULT PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0850T","description":"DGTZ GLS MCRSCP SLD ISH EA MULT PROBE STAIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD M/PHMTRC ISH 1ST 1 PROBE STN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0851T","description":"DGTZ GLS MCRSCP SLD M/PHMTRC ISH 1ST 1 PROBE STN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD M/PHMTRC ISH EA ADD 1PRB STN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0852T","description":"DGTZ GLS MCRSCP SLD M/PHMTRC ISH EA ADD 1PRB STN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD M/PHMTRC ISH EA MULT PRB STN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0853T","description":"DGTZ GLS MCRSCP SLD M/PHMTRC ISH EA MULT PRB STN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD PATH CNSLT DRG SRG 1ST TIS 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0841T","description":"DGTZ GLS MCRSCP SLD PATH CNSLT DRG SRG 1ST TIS 1","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD PATH CNSLT DRG SURG EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0842T","description":"DGTZ GLS MCRSCP SLD PATH CNSLT DRG SURG EA ADDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD PATH CNSLT SURG CYTL XM 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0843T","description":"DGTZ GLS MCRSCP SLD PATH CNSLT SURG CYTL XM 1ST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD PATH CNSLT SURG CYTL XM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0844T","description":"DGTZ GLS MCRSCP SLD PATH CNSLT SURG CYTL XM EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DGTZ GLS MCRSCP SLD XM and SLCTN ARCH TIS MOLEC ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0847T","description":"DGTZ GLS MCRSCP SLD XM and SLCTN ARCH TIS MOLEC ALYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY DELUXE FEATURE SHOE/CSTM MOLD SHOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5508","description":"DIAB ONLY DELUXE FEATURE SHOE/CSTM MOLD SHOE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB OP SELF-MGMT TRN SRVC INDIVIDUAL PER 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0108","description":"DIAB OP SELF-MGMT TRN SRVC INDIVIDUAL PER 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB PT MOST REC LD LP  OVER    EQ 100 MG DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8019","description":"DIAB PT MOST REC LD LP  OVER    EQ 100 MG DL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB PT MOST REC LD LP  UNDER  100 MG DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8020","description":"DIAB PT MOST REC LD LP  UNDER  100 MG DL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB PT W NO DOC BLOOD PRESSURE MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8390","description":"DIAB PT W NO DOC BLOOD PRESSURE MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB SCR TEST NOT PERF RSN NOT GIVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8779","description":"DIAB SCR TEST NOT PERF RSN NOT GIVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB SELF-MGMT TRN SRVC GROUP SESSION PER 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0109","description":"DIAB SELF-MGMT TRN SRVC GROUP SESSION PER 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETES PREV ONLINE/ELECTRONIC PRGRM PR 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0488T","description":"DIABETES PREV ONLINE/ELECTRONIC PRGRM PR 30 DAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETES PREVENTION PROG STANDARDIZED CURRICULUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0403T","description":"DIABETES PREVENTION PROG STANDARDIZED CURRICULUM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETES SCREENING TEST PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8777","description":"DIABETES SCREENING TEST PERFORMED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETIC INDICATOR; RETINAL EYE EXAM DILATED BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3000","description":"DIABETIC INDICATOR; RETINAL EYE EXAM DILATED BIL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETIC MANAGEMENT PROGM F/U VISIT MD PROVIDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9141","description":"DIABETIC MANAGEMENT PROGM F/U VISIT MD PROVIDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETIC MANAGEMENT PROGRAM DIETITIAN VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9465","description":"DIABETIC MANAGEMENT PROGRAM DIETITIAN VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETIC MANAGEMENT PROGRAM GROUP SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9455","description":"DIABETIC MANAGEMENT PROGRAM GROUP SESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETIC MANAGEMENT PROGRAM NURSE VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9460","description":"DIABETIC MANAGEMENT PROGRAM NURSE VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETIC MGMT PROGM F/U VISIT NON-MD PROVIDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9140","description":"DIABETIC MGMT PROGM F/U VISIT NON-MD PROVIDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETIC PT NO DOC OF HGB A1C LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8385","description":"DIABETIC PT NO DOC OF HGB A1C LEVEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIABETIC PT W NO DOC OF LDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8386","description":"DIABETIC PT W NO DOC OF LDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAG I-123 IOFLUPANE, PER STUDY DOSE,UP TO 5 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9406","description":"DIAG I-123 IOFLUPANE, PER STUDY DOSE,UP TO 5 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC CASTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0470","description":"DIAGNOSTIC CASTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9937","description":"DIAGNOSTIC COLONOSCOPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC ERCP INCL COLL SPEC BY BRUSH/WASHING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7541","description":"DIAGNOSTIC ERCP INCL COLL SPEC BY BRUSH/WASHING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC MAMMOGRAPHY INCL CAD WHEN PERF; BILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0204","description":"DIAGNOSTIC MAMMOGRAPHY INCL CAD WHEN PERF; BILAT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC MAMMOGRAPHY INCL CAD WHEN PERF; UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0206","description":"DIAGNOSTIC MAMMOGRAPHY INCL CAD WHEN PERF; UNI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE CONC POWDER ADD PERITON DIALYSIS-PCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4765","description":"DIALYSATE CONC POWDER ADD PERITON DIALYSIS-PCKET","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE CONC SOL ADD PERITON DIALYSIS-10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4766","description":"DIALYSATE CONC SOL ADD PERITON DIALYSIS-10 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE DEXTROSE FLUID  GT  5999 CC PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4726","description":"DIALYSATE DEXTROSE FLUID  GT  5999 CC PD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE DXTROS FL  GT 249 LT or equal to 999 CC PERITON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4720","description":"DIALYSATE DXTROS FL  GT 249 LT or equal to 999 CC PERITON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE DXTROS FL  GT 999 LT or equal to 1999CC PERITON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4721","description":"DIALYSATE DXTROS FL  GT 999 LT or equal to 1999CC PERITON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE DXTROS FL GT 1999 LT or equal to 2999CC PERITON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4722","description":"DIALYSATE DXTROS FL GT 1999 LT or equal to 2999CC PERITON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE DXTROS FL GT 2999 LT or equal to 3999CC PERITON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4723","description":"DIALYSATE DXTROS FL GT 2999 LT or equal to 3999CC PERITON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE DXTROS FL GT 3999 LT or equal to 4999CC PERITON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4724","description":"DIALYSATE DXTROS FL GT 3999 LT or equal to 4999CC PERITON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE DXTROS FL GT 4999 LT or equal to 5999CC PERITON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4725","description":"DIALYSATE DXTROS FL GT 4999 LT or equal to 5999CC PERITON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE SOL TST KIT PERITON DIALYSIS TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4760","description":"DIALYSATE SOL TST KIT PERITON DIALYSIS TYPE EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE SOLUTION NON-DXTROS CONTAINING 500 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4728","description":"DIALYSATE SOLUTION NON-DXTROS CONTAINING 500 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS 1 EVAL PHYSICIAN AC KID INJ W/O ESRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0492","description":"DIALYSIS 1 EVAL PHYSICIAN AC KID INJ W/O ESRD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS ACCESS SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1881","description":"DIALYSIS ACCESS SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS CIRC INTRO TBS PERIPHERAL DIALYSIS SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7530","description":"DIALYSIS CIRC INTRO TBS PERIPHERAL DIALYSIS SEG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS CIRC TBA CNTRL DLYS SEG PRFRM DLYS CIRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7513","description":"DIALYSIS CIRC TBA CNTRL DLYS SEG PRFRM DLYS CIRC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS EQUIPMENT NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1699","description":"DIALYSIS EQUIPMENT NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS MCARE CERT ESRD FAC AC KID INJ W/O ESRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0491","description":"DIALYSIS MCARE CERT ESRD FAC AC KID INJ W/O ESRD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS TRAINING PATIENT COMPLETED COURSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90989","description":"DIALYSIS TRAINING PATIENT COMPLETED COURSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS TRAINING PATIENT PER TRAINING SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90993","description":"DIALYSIS TRAINING PATIENT PER TRAINING SESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS/STRESS VITAMIN SUPL ORAL 100 CAPSULES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0194","description":"DIALYSIS/STRESS VITAMIN SUPL ORAL 100 CAPSULES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYZER ALL TYPES ALL SIZES HEMODIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4690","description":"DIALYZER ALL TYPES ALL SIZES HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAPER SERVICE REUSABLE DIAPER EACH DIAPER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4538","description":"DIAPER SERVICE REUSABLE DIAPER EACH DIAPER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DICOM DATA AVAIL PT AU 12-MO NOT DOC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9329","description":"DICOM DATA AVAIL PT AU 12-MO NOT DOC RSN NOT GVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DICOM IMAG DATA NOT DOC RPT MED RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9328","description":"DICOM IMAG DATA NOT DOC RPT MED RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DID NOT SUST BLAD INJ SRG/NOR DSCV SUBSQ UP 30PS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9627","description":"DID NOT SUST BLAD INJ SRG/NOR DSCV SUBSQ UP 30PS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIDANOSINE 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0137","description":"DIDANOSINE 25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL RECTAL EXAMINATION ANNUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0605","description":"DIGITAL RECTAL EXAMINATION ANNUAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL SCREENING RETINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0625","description":"DIGITAL SCREENING RETINAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGTL SUBTRACTION 2 OR GT  IMAGES/IMAG VOL SAME MODAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0394","description":"DIGTL SUBTRACTION 2 OR GT  IMAGES/IMAG VOL SAME MODAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT ESOPH BALLOON 30 MM DIAM OR GRT  ACHALASIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43458","description":"DILAT ESOPH BALLOON 30 MM DIAM OR GRT  ACHALASIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT ESOPHAGUS BALLOON DILATOR RETROGRADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43456","description":"DILAT ESOPHAGUS BALLOON DILATOR RETROGRADE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT RET EYE EXAM INTERPR OPH/OPTOM DOC  and  REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2102","description":"DILAT RET EYE EXAM INTERPR OPH/OPTOM DOC  and  REV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATED MACULAR OR FUNDUS EXAM NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8398","description":"DILATED MACULAR OR FUNDUS EXAM NOT PERFORMED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION PROSTATIC URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52510","description":"DILATION PROSTATIC URETHRA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIPHENHYDRAMINE HCL 50 MG ORAL NOT GT 48 HR DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0163","description":"DIPHENHYDRAMINE HCL 50 MG ORAL NOT GT 48 HR DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIPHTHERA TETANUS TOXOID PERTUSSIS VACCINE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90701","description":"DIPHTHERA TETANUS TOXOID PERTUSSIS VACCINE IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIPHTHERIA ANTITOXIN EQUINE ANY ROUTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90296","description":"DIPHTHERIA ANTITOXIN EQUINE ANY ROUTE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIPHTHERIA VACCINE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90719","description":"DIPHTHERIA VACCINE IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR SKILL NRS HH HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0154","description":"DIR SKILL NRS HH HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIRECT ADMISSION PATIENT HOSPITAL OBSERV CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0379","description":"DIRECT ADMISSION PATIENT HOSPITAL OBSERV CARE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIRECT IMMUNOFLUORESCENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0482","description":"DIRECT IMMUNOFLUORESCENCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIRECT SNS LPN HOME HLTH/HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0300","description":"DIRECT SNS LPN HOME HLTH/HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIRECT SNS RN HOME HEALTH/HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0299","description":"DIRECT SNS RN HOME HEALTH/HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MANAGEMENT PROGM; INIT ASSESS AND INIT PROGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0315","description":"DISEASE MANAGEMENT PROGM; INIT ASSESS AND INIT PROGM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISEASE MANAGEMENT PROGRAM; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0317","description":"DISEASE MANAGEMENT PROGRAM; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISKECT ANT W/OSTEOPHYTECT; LUMB EA ADD INTRSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2351","description":"DISKECT ANT W/OSTEOPHYTECT; LUMB EA ADD INTRSP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISKECT ANT W/OSTEOPHYTECT; LUMBAR 1 INTERSPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2350","description":"DISKECT ANT W/OSTEOPHYTECT; LUMBAR 1 INTERSPACE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISP COLL and STOR BAG FOR BRST MK ANY SZ ANY TYP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4287","description":"DISP COLL and STOR BAG FOR BRST MK ANY SZ ANY TYP EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL CATHETER TIPS PERITONEAL DIALYSIS PER 10","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4860","description":"DISPBL CATHETER TIPS PERITONEAL DIALYSIS PER 10","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL CYCLER SET USED W/CYCLER DIALYSIS MACH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4671","description":"DISPBL CYCLER SET USED W/CYCLER DIALYSIS MACH EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL PACK USE W/THE ELEC BOWEL IRRIG/EVAC SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0352","description":"DISPBL PACK USE W/THE ELEC BOWEL IRRIG/EVAC SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5110","description":"DISPENSING FEE BILATERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE BINAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5160","description":"DISPENSING FEE BINAURAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE CONTRALATERAL MONAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5200","description":"DISPENSING FEE CONTRALATERAL MONAURAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE CONTRALATERAL RTE SYSTEM BINAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5240","description":"DISPENSING FEE CONTRALATERAL RTE SYSTEM BINAURAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5241","description":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPNSING NEW SPECTACLE LENSES PT SUPPLIED FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0595","description":"DISPNSING NEW SPECTACLE LENSES PT SUPPLIED FRAME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPOSABLE COLL  AND  STRG BAG BM ANY SIZE ANY T EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1005","description":"DISPOSABLE COLL  AND  STRG BAG BM ANY SIZE ANY T EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPOSABLE CONTACT LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0500","description":"DISPOSABLE CONTACT LENS PER LENS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPOSABLE ENDOSCOPE SHEATH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4270","description":"DISPOSABLE ENDOSCOPE SHEATH EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISTL TRANSCT ELC NRV STM STIM PERIPH NRV UP ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1023","description":"DISTL TRANSCT ELC NRV STM STIM PERIPH NRV UP ARM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYS CIRC  PERM EVAR EMB/OCCL MAIN CIRC/ANY AV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7515","description":"DLYS CIRC  PERM EVAR EMB/OCCL MAIN CIRC/ANY AV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYS CIRC ATL CNTRL DLYS SEG and TRNSCTH PLCMNT IVAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7514","description":"DLYS CIRC ATL CNTRL DLYS SEG and TRNSCTH PLCMNT IVAS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DME DEL SET UP and /DISPNS SRVC CMPNT ANOTH HCPCS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9901","description":"DME DEL SET UP and /DISPNS SRVC CMPNT ANOTH HCPCS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DME SUP/ACCESS/SRV-COMPON/OTH HCPCS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9900","description":"DME SUP/ACCESS/SRV-COMPON/OTH HCPCS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANALY APOE EPSILON 4 ALLELE SUSECPT ALZS DZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3852","description":"DNA ANALY APOE EPSILON 4 ALLELE SUSECPT ALZS DZ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANALY CONNEXIN 26 GENE CONGN PFND DEAFNESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3844","description":"DNA ANALY CONNEXIN 26 GENE CONGN PFND DEAFNESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANALYSIS F5 GENE SUS TO F5 LEIDEN THROMBO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3843","description":"DNA ANALYSIS F5 GENE SUS TO F5 LEIDEN THROMBO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANALYSIS FECAL COLOREC CA SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3890","description":"DNA ANALYSIS FECAL COLOREC CA SCR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANALYSIS GERMLINE MUTATS RET PROTO-ONCOGENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3840","description":"DNA ANALYSIS GERMLINE MUTATS RET PROTO-ONCOGENE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DO NEO D ONLY DX TRAD SERRATED AD SS POLYP/SSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9934","description":"DO NEO D ONLY DX TRAD SERRATED AD SS POLYP/SSA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ABX GIVEN WITHIN 1 HR PRIOR TO SURG INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8503","description":"DOC ABX GIVEN WITHIN 1 HR PRIOR TO SURG INCISION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ABX NOT GIVN IN 4 HR PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8703","description":"DOC ABX NOT GIVN IN 4 HR PRIOR SURG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ABX NOT GIVN W I 1 HR PRIOR TO SURG INCI RNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8505","description":"DOC ABX NOT GIVN W I 1 HR PRIOR TO SURG INCI RNS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC AMI PT NOT ELG BB@ARRIVAL MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8011","description":"DOC AMI PT NOT ELG BB@ARRIVAL MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC CLIN  AND  PT INVLV W DLVP POC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8437","description":"DOC CLIN  AND  PT INVLV W DLVP POC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC COG IMPAIR SCR USE STD TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8434","description":"DOC COG IMPAIR SCR USE STD TOOL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC DIAB PT NOT ELIG HGB A1C MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8017","description":"DOC DIAB PT NOT ELIG HGB A1C MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MAC FUND EX NOT CMNC PHYS DIAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8334","description":"DOC MAC FUND EX NOT CMNC PHYS DIAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 ORD 1ST/2ND GEN CPH AMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9196","description":"DOC MED REASON NOT ORD 1ST/2ND GEN CPH AMP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 PRESCRIBING BETA-LACTAM ABX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9559","description":"DOC MED RSN FOR NOT PRESCRIBING BETA-LACTAM ABX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 MOST RECNT BP NOT CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8887","description":"DOC MED RSN MOST RECNT BP NOT CNTRL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NO SCR UH ALC USE SYS SCR METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2198","description":"DOC MED RSN NO SCR UH ALC USE SYS SCR METHOD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 CNT PREV CT CARD NM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9323","description":"DOC MED RSN NOT CNT PREV CT CARD NM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 OFFR ASST EOL ISSUE DUR MSR PERD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9381","description":"DOC MED RSN NOT OFFR ASST EOL ISSUE DUR MSR PERD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 PER SERUM CREAT TST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8775","description":"DOC MED RSN NOT PER SERUM CREAT TST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PER URINE PROT TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8772","description":"DOC MED RSN NOT PER URINE PROT TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 PERFORM 12-LEAD ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8705","description":"DOC MED RSN NOT PERFORM 12-LEAD ECG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PERFORM FOOT EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9224","description":"DOC MED RSN NOT PERFORM FOOT EXAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PERFORM LDL-C TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8892","description":"DOC MED RSN NOT PERFORM LDL-C TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 PRFRM DIAB SCR TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8778","description":"DOC MED RSN NOT PRFRM DIAB SCR TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PRFRM LIPID PROFILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8768","description":"DOC MED RSN NOT PRFRM LIPID PROFILE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PROV BRF CNSLG ID UH ALC USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2203","description":"DOC MED RSN NOT PROV BRF CNSLG ID UH ALC USER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PROV SAF CNCRN/REC/REF POS SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9924","description":"DOC MED RSN NOT PROV SAF CNCRN/REC/REF POS SCR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PROV TOB CESS INT IDENT TOB USER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9909","description":"DOC MED RSN NOT PROV TOB CESS INT IDENT TOB USER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED RSN NOT PROV TOBACCO CESSNT INTERVENTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9907","description":"DOC MED RSN NOT PROV TOBACCO CESSNT INTERVENTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 ORAL ASP OTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8896","description":"DOC MED RSN NOT PRSC ORAL ASP OTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 PT NO CNSL DIET  AND  PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8781","description":"DOC MED RSN PT NO CNSL DIET  AND  PHYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC MED/PT RSN FOR NOT DISC TREATMENT OPTIONS;","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9400","description":"DOC MED/PT RSN FOR NOT DISC TREATMENT OPTIONS;","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 FOR NOT SCREENING TOBACCO USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0028","description":"DOC MEDICAL REASON FOR NOT SCREENING TOBACCO USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 ADMINIS PNEUMOCOCCAL VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9989","description":"DOC MEDICAL RSN NOT ADMINIS PNEUMOCOCCAL VACCINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC NEG/MAN P TB SCR E TB NOT AC W/I 1 Y PT VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9359","description":"DOC NEG/MAN P TB SCR E TB NOT AC W/I 1 Y PT VST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC NEW DX INITIAL RECUR EPIS MDD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8467","description":"DOC NEW DX INITIAL RECUR EPIS MDD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC OF MED RSN FOR NOT PROV BRIEF COUNSELING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2201","description":"DOC OF MED RSN FOR NOT PROV BRIEF COUNSELING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC OF ORDER ANTIMICROBIAL PROPHYLAXIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8527","description":"DOC OF ORDER ANTIMICROBIAL PROPHYLAXIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC OF PT RSN NOT PRSC LA INHALED BRONCHODILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9697","description":"DOC OF PT RSN NOT PRSC LA INHALED BRONCHODILATOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORD 1ST/2ND CEPHALOSPORIN ANTIMICROBL PROPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9197","description":"DOC ORD 1ST/2ND CEPHALOSPORIN ANTIMICROBL PROPH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORD PROPH P ABX GIVE 1 HR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8629","description":"DOC ORD PROPH P ABX GIVE 1 HR SURG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC ORDER ABX GIVEN WITHIN 1 HR PRIOR SURG INCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8504","description":"DOC ORDER ABX GIVEN WITHIN 1 HR PRIOR SURG INCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PA GIVN W I 4HR B4 SURG INTRAOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8702","description":"DOC PA GIVN W I 4HR B4 SURG INTRAOP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PATIENT RSN FOR NOT REFERRING HOSPICE CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9525","description":"DOC PATIENT RSN FOR NOT REFERRING HOSPICE CARE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PR MI CAD PT NO BB PT NO PR MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8035","description":"DOC PR MI CAD PT NO BB PT NO PR MI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PROPH P ABX INIT 1 HR SURG ORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8630","description":"DOC PROPH P ABX INIT 1 HR SURG ORD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT 1/MORE COMPLICATION/MORTALITY W/I 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9267","description":"DOC PT 1/MORE COMPLICATION/MORTALITY W/I 30 DAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT 1/MORE COMPLICATIONS WITHIN 90 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9268","description":"DOC PT 1/MORE COMPLICATIONS WITHIN 90 DAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 ALIVE FLW ENDOVASCULAR AAA REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9263","description":"DOC PT D/C ALIVE FLW ENDOVASCULAR AAA REPAIR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 DEATH HOSPITAL FLW ENDOVASCULAR AAA REPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9262","description":"DOC PT DEATH HOSPITAL FLW ENDOVASCULAR AAA REPR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 DIA F/DCT LDL- C R LT  70 MG/DL  and  NO STATIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9783","description":"DOC PT DIA F/DCT LDL- C R LT  70 MG/DL  and  NO STATIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 ANY TIME BFR/DUR EOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1137","description":"DOC PT DX DEG NEURO COND DX ANY TIME BFR/DUR EOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 APPROP SCR AND  CNSL FLU VAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8426","description":"DOC PT NOT APPROP SCR AND  CNSL FLU VAC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT NOT ELIG CO-DEVELOPMENT POC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8439","description":"DOC PT NOT ELIG CO-DEVELOPMENT POC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 PAIN BROUGHT COMFORT LVL 48 HRS INIT ASMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9250","description":"DOC PT PAIN BROUGHT COMFORT LVL 48 HRS INIT ASMT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT PAIN NOT BROUGHT COMFORT 48 HR INIT ASMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9251","description":"DOC PT PAIN NOT BROUGHT COMFORT 48 HR INIT ASMT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 ABLE TO ASSESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0921","description":"DOC PT REASON NOT ABLE TO ASSESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 RECORD DISCUSSION BETWEEN PHYS/CLIN  and  PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9399","description":"DOC PT RECORD DISCUSSION BETWEEN PHYS/CLIN  and  PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RECV MNT HD  GT or equal to  TO 90 D CATHETER DOC R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9264","description":"DOC PT RECV MNT HD  GT or equal to  TO 90 D CATHETER DOC R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 FOR NOT RECV 1-TIME SCR FOR HCV INF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9453","description":"DOC PT RSN FOR NOT RECV 1-TIME SCR FOR HCV INF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 HAVING REC NEG/MANAGED POS TB SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9932","description":"DOC PT RSN NOT HAVING REC NEG/MANAGED POS TB SCR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT RSN NOT PERFORM 12-LEAD ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8706","description":"DOC PT RSN NOT PERFORM 12-LEAD ECG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 PT NOT REC CNSL DIET PA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8949","description":"DOC PT RSN PT NOT REC CNSL DIET PA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT SCREEN FLU VACC CURR PT CNSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8423","description":"DOC PT SCREEN FLU VACC CURR PT CNSL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT SURVIVAL  AND  ABSENCE OF STROKE FOLLOW CAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9259","description":"DOC PT SURVIVAL  AND  ABSENCE OF STROKE FOLLOW CAS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT SURVIVAL  AND  ABSENCE STROKE FOLLOWING CEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9261","description":"DOC PT SURVIVAL  AND  ABSENCE STROKE FOLLOWING CEA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT W/O 1/MORE COMP NO MORTALITY W/I 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9269","description":"DOC PT W/O 1/MORE COMP NO MORTALITY W/I 30 DAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC PT W/O ONE OR MORE COMPLICATIONS W/I 90 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9270","description":"DOC PT W/O ONE OR MORE COMPLICATIONS W/I 90 DAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RADIATION TX REC 12 MOS 1ST OV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8379","description":"DOC RADIATION TX REC 12 MOS 1ST OV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 NO SCR FOR UTERN MALIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9619","description":"DOC REASON NO SCR FOR UTERN MALIG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC REASON NOT DETECTING ADENOMA OTH NEOPLASM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9496","description":"DOC REASON NOT DETECTING ADENOMA OTH NEOPLASM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 MOST RECENT LDL-C NOT CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8891","description":"DOC RSN MOST RECENT LDL-C NOT CNTRL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 CMPL INFUS P ABX PRIOR INFLA PROX TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9300","description":"DOC RSN NOT CMPL INFUS P ABX PRIOR INFLA PROX TQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN NOT NAME CT STDY NOMEN PROV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9320","description":"DOC RSN NOT NAME CT STDY NOMEN PROV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC RSN PT INIT MNT HD CATH MODE VASCULAR ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9239","description":"DOC RSN PT INIT MNT HD CATH MODE VASCULAR ACCESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SIGNED OPIOID TX AGRMNT AT LEAST ONCE DUR TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9578","description":"DOC SIGNED OPIOID TX AGRMNT AT LEAST ONCE DUR TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SY RSN NOT RX WF/ANR FDA-APV AC D/T PT IN CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9927","description":"DOC SY RSN NOT RX WF/ANR FDA-APV AC D/T PT IN CT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC SYS RSN NOT PRSC ACE INHIB/ARB/ARNI THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2095","description":"DOC SYS RSN NOT PRSC ACE INHIB/ARB/ARNI THERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOC THAT PATIENT DECLINED TX CHANGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9650","description":"DOC THAT PATIENT DECLINED TX CHANGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PEGINTF RIB THXY CONSD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4152F","description":"DOCD PEGINTF RIB THXY CONSD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 REASON ANTICOAGULATION NOT ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8800","description":"DOCUMENT REASON ANTICOAGULATION NOT ORDERED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT REASON NO PREGNANCY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8803","description":"DOCUMENT REASON NO PREGNANCY TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENT RH IMMUNE GLOBULIN NOT ORDERED RSN NS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8811","description":"DOCUMENT RH IMMUNE GLOBULIN NOT ORDERED RSN NS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DX CHRONIC KIDNEY DZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8771","description":"DOCUMENTATION DX CHRONIC KIDNEY DZ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION ELDER MALTREATMENT SCREEN F U PLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8534","description":"DOCUMENTATION ELDER MALTREATMENT SCREEN F U PLAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION MED RSN FOR NOT SCR TOBACCO USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9904","description":"DOCUMENTATION MED RSN FOR NOT SCR TOBACCO USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NO SCR UNHLTHY ALCOHL USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9623","description":"DOCUMENTATION MED RSN NO SCR UNHLTHY ALCOHL USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MED RSN ORD ADV BRAIN IMAG STDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9536","description":"DOCUMENTATION OF MED RSN ORD ADV BRAIN IMAG STDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DEATH FOLLOWING CAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9256","description":"DOCUMENTATION OF PATIENT DEATH FOLLOWING CAS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF PATIENT DEATH FOLLOWING CEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9260","description":"DOCUMENTATION OF PATIENT DEATH FOLLOWING CEA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF PATIENT STROKE FOLLOWING CAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9257","description":"DOCUMENTATION OF PATIENT STROKE FOLLOWING CAS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF PATIENT STROKE FOLLOWING CEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9258","description":"DOCUMENTATION OF PATIENT STROKE FOLLOWING CEA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF PLANNED HYBRID/STAGED PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9640","description":"DOCUMENTATION OF PLANNED HYBRID/STAGED PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF POST-SURGICAL ANATOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9613","description":"DOCUMENTATION OF POST-SURGICAL ANATOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTATION OF SCR UTEN MALIG/US and /ENDOMET SAMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9618","description":"DOCUMENTATION OF SCR UTEN MALIG/US and /ENDOMET SAMP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SYS RSN FOR OBTG IMAG OF HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9532","description":"DOCUMENTATION OF SYS RSN FOR OBTG IMAG OF HEAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DOCUMENTING A PREOP ASSESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9616","description":"DOCUMENTATION RSN NOT DOCUMENTING A PREOP ASSESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SYSTEM RSN NOT PRSC BETA-BLOCKR TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9192","description":"DOCUMENTATION SYSTEM RSN NOT PRSC BETA-BLOCKR TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PATIENT RECEIVE ANTIVIRAL TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8459","description":"DOCUMENTED PATIENT RECEIVE ANTIVIRAL TREATMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOCUMENTION MEDICAL RSN PT HGB LEVEL  LT  10 G/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8975","description":"DOCUMENTION MEDICAL RSN PT HGB LEVEL  LT  10 G/DL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOLASETRON MESYLATE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0174","description":"DOLASETRON MESYLATE ORAL 50 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOM/R-HOME E/M EST PT LW MOD SEVERITY 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99335","description":"DOM/R-HOME E/M EST PT LW MOD SEVERITY 25 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOM/R-HOME E/M EST PT MOD HI SEVERITY 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99336","description":"DOM/R-HOME E/M EST PT MOD HI SEVERITY 40 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOM/R-HOME E/M EST PT SELF-LMTD/MINOR 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99334","description":"DOM/R-HOME E/M EST PT SELF-LMTD/MINOR 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOM/R-HOME E/M EST PT SIGNIF NEW PROB 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99337","description":"DOM/R-HOME E/M EST PT SIGNIF NEW PROB 60 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOM/R-HOME E/M NEW PT SIGNIF NEW PROB 75 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99328","description":"DOM/R-HOME E/M NEW PT SIGNIF NEW PROB 75 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOMICIL/REST HOME NEW PT HI-MOD SEVER 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99326","description":"DOMICIL/REST HOME NEW PT HI-MOD SEVER 45 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOMICIL/REST HOME NEW PT VISIT HI SEVER 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99327","description":"DOMICIL/REST HOME NEW PT VISIT HI SEVER 60 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOMICIL/REST HOME NEW PT VISIT LOW SEVER 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99324","description":"DOMICIL/REST HOME NEW PT VISIT LOW SEVER 20 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOMICIL/REST HOME NEW PT VISIT MOD SEVER 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99325","description":"DOMICIL/REST HOME NEW PT VISIT MOD SEVER 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR CARDIECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33940","description":"DONOR CARDIECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR CARDIECTOMY-PNEUMONECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33930","description":"DONOR CARDIECTOMY-PNEUMONECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR EGG CYCLE INCOMPLETE CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4023","description":"DONOR EGG CYCLE INCOMPLETE CASE RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR ENTERECTOMY OPEN CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44132","description":"DONOR ENTERECTOMY OPEN CADAVER DONOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR ENTERECTOMY OPEN LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44133","description":"DONOR ENTERECTOMY OPEN LIVING DONOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47133","description":"DONOR HEPATECTOMY CADAVER DONOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR LOBECTOMY FOR TRANSPLANTATION LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2061","description":"DONOR LOBECTOMY FOR TRANSPLANTATION LIVING DONOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR NEPHRECTOMY CADAVER DONOR UNI/BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50300","description":"DONOR NEPHRECTOMY CADAVER DONOR UNI/BILATERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR PANCREATECTOMY DUODENAL SGM TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48550","description":"DONOR PANCREATECTOMY DUODENAL SGM TRANSPLANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR PNEUMONECTOMY FROM CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32850","description":"DONOR PNEUMONECTOMY FROM CADAVER DONOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR SERVICES IN VITRO FERTILIZATION CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4025","description":"DONOR SERVICES IN VITRO FERTILIZATION CASE RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOOR TO PUNCTURE TIME OF  GT 90 MIN NO REASON GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9582","description":"DOOR TO PUNCTURE TIME OF  GT 90 MIN NO REASON GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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-PUNCT TIME  OVER 2 HRS RSN DOC CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9581","description":"DOOR-PUNCT TIME  OVER 2 HRS RSN DOC CLIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOSE OPTIMIZ AUC ANALY INFUSIONAL 5-FLUOROURACIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3722","description":"DOSE OPTIMIZ AUC ANALY INFUSIONAL 5-FLUOROURACIL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOXORUBICIN HCL, 10 MG, ALL LIPD FORMULATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9001","description":"DOXORUBICIN HCL, 10 MG, ALL LIPD FORMULATIONS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DP SEDAT GEN ANES-EA ADD 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9221","description":"DP SEDAT GEN ANES-EA ADD 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DP SEDATION GEN ANES-1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9220","description":"DP SEDATION GEN ANES-1ST 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DR TST PRESUMP;INSTR CHEMISTRY ANLZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0479","description":"DR TST PRESUMP;INSTR CHEMISTRY ANLZ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DR TST PRESUMP;INSTR-AST DC OPT OBV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0478","description":"DR TST PRESUMP;INSTR-AST DC OPT OBV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DR TST PRESUMP;READ DC OPT OBV ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0477","description":"DR TST PRESUMP;READ DC OPT OBV ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAIN BAG/BOTTLE FOR DIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4911","description":"DRAIN BAG/BOTTLE FOR DIALYSIS EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTENSION LINE STERILE DIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4672","description":"DRAINAGE EXTENSION LINE STERILE DIALYSIS EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51000","description":"DRAINAGE OF BLADDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51005","description":"DRAINAGE OF BLADDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51010","description":"DRAINAGE OF BLADDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF CHEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32000","description":"DRAINAGE OF CHEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE PERIRENAL RENAL ABSCESS PRW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50021","description":"DRAINAGE PERIRENAL RENAL ABSCESS PRW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG PELVIC ABSCESS TRANSVAG TRANSRECTAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58823","description":"DRG PELVIC ABSCESS TRANSVAG TRANSRECTAL APPR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG PERITONEAL ABSCESS LOCAL PERITONITIS PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49021","description":"DRG PERITONEAL ABSCESS LOCAL PERITONITIS PRQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG RETROPERITONEAL ABSCESS PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49061","description":"DRG RETROPERITONEAL ABSCESS PERCUTANEOUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG SUBDIAPHRAGMATIC SUBPHRENIC ABSCESS PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49041","description":"DRG SUBDIAPHRAGMATIC SUBPHRENIC ABSCESS PRQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRONABINOL 5 MG, ORAL, NOT TO EXCEED 48 HR RG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0168","description":"DRONABINOL 5 MG, ORAL, NOT TO EXCEED 48 HR RG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ADMINISTERED THROUGH A METERED DOSE INHALER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3535","description":"DRUG ADMINISTERED THROUGH A METERED DOSE INHALER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ANALYSIS TISSUE PREP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80103","description":"DRUG ANALYSIS TISSUE PREP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY DEF 100 Plus  RX/METABOLITES URINE W/MRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0148U","description":"DRUG ASSAY DEF 100 Plus  RX/METABOLITES URINE W/MRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY DEF 120 Plus  RX/METABOLITES URINE W/MRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0143U","description":"DRUG ASSAY DEF 120 Plus  RX/METABOLITES URINE W/MRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY DEF 120 Plus  RX/METABOLITES URINE W/MRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0150U","description":"DRUG ASSAY DEF 120 Plus  RX/METABOLITES URINE W/MRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY DEF 160 Plus  RX/METABOLITES URINE W/MRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0144U","description":"DRUG ASSAY DEF 160 Plus  RX/METABOLITES URINE W/MRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY DEF 60 Plus  RX/METABOLITES URINE W/MRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0149U","description":"DRUG ASSAY DEF 60 Plus  RX/METABOLITES URINE W/MRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY DEF 65 Plus  RX/METABOLITES URINE W/MRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0145U","description":"DRUG ASSAY DEF 65 Plus  RX/METABOLITES URINE W/MRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY DEF 80 Plus  RX/METABOLITES URINE W/MRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0146U","description":"DRUG ASSAY DEF 80 Plus  RX/METABOLITES URINE W/MRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY DEF 85 Plus  RX/METABOLITES URINE W/MRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0147U","description":"DRUG ASSAY DEF 85 Plus  RX/METABOLITES URINE W/MRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG CONFIRMATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80102","description":"DRUG CONFIRMATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG CONFIRMATION EACH PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6058","description":"DRUG CONFIRMATION EACH PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG OR BIOLOGICAL NOC PART B DRUG CAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4082","description":"DRUG OR BIOLOGICAL NOC PART B DRUG CAP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCR NOT CGC: ANY NUMBER PT ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0434","description":"DRUG SCR NOT CGC: ANY NUMBER PT ENC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80329","description":"DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN ANALGESICS NON-OPIOID 3-5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80330","description":"DRUG SCREEN ANALGESICS NON-OPIOID 3-5","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN ANALGESICS NON-OPIOID 6 OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80331","description":"DRUG SCREEN ANALGESICS NON-OPIOID 6 OR MORE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN CLASS LIST A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80301","description":"DRUG SCREEN CLASS LIST A","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN NON TLC DEVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80300","description":"DRUG SCREEN NON TLC DEVICES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN ONE MULT CLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80303","description":"DRUG SCREEN ONE MULT CLASS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN ONE MULT CLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80304","description":"DRUG SCREEN ONE MULT CLASS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN PRSMPTV 1 CLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80302","description":"DRUG SCREEN PRSMPTV 1 CLASS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUALITATE MULTI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80100","description":"DRUG SCREEN QUALITATE MULTI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 1 OR 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80321","description":"DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 1 OR 2","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 3 OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80322","description":"DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 3 OR MORE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT AMPHETAMINES 1 OR 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80324","description":"DRUG SCREEN QUANT AMPHETAMINES 1 OR 2","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT AMPHETAMINES 3 OR 4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80325","description":"DRUG SCREEN QUANT AMPHETAMINES 3 OR 4","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT AMPHETAMINES 5 OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80326","description":"DRUG SCREEN QUANT AMPHETAMINES 5 OR MORE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT ANABOLIC STEROID 1 OR 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80327","description":"DRUG SCREEN QUANT ANABOLIC STEROID 1 OR 2","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANT ANABOLIC STEROID 3 OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80328","description":"DRUG SCREEN QUANT ANABOLIC STEROID 3 OR MORE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE ALCOHOLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80320","description":"DRUG SCREEN QUANTITATIVE ALCOHOLS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80101","description":"DRUG SCREEN SINGLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN STEREOISOMER ANALYSIS 1 DRUG CLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80374","description":"DRUG SCREEN STEREOISOMER ANALYSIS 1 DRUG CLASS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING BARBITURATES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80345","description":"DRUG SCREENING BARBITURATES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING BENZODIAZEPINES 1-12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80346","description":"DRUG SCREENING BENZODIAZEPINES 1-12","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING BENZODIAZEPINES 13 OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80347","description":"DRUG SCREENING BENZODIAZEPINES 13 OR MORE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING BUPRENORPHINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80348","description":"DRUG SCREENING BUPRENORPHINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING CANNABINOIDS NATURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80349","description":"DRUG SCREENING CANNABINOIDS NATURAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING CANNABINOIDS SYNTHETIC 1-3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80350","description":"DRUG SCREENING CANNABINOIDS SYNTHETIC 1-3","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING CANNABINOIDS SYNTHETIC 4-6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80351","description":"DRUG SCREENING CANNABINOIDS SYNTHETIC 4-6","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING CANNABINOIDS SYNTHETIC 7/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80352","description":"DRUG SCREENING CANNABINOIDS SYNTHETIC 7/MORE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING COCAINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80353","description":"DRUG SCREENING COCAINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING FENTANYL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80354","description":"DRUG SCREENING FENTANYL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING GABAPENTIN NON-BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80355","description":"DRUG SCREENING GABAPENTIN NON-BLOOD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING HEROIN METABOLITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80356","description":"DRUG SCREENING HEROIN METABOLITE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING KETAMINE AND NORKETAMINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80357","description":"DRUG SCREENING KETAMINE AND NORKETAMINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING METHADONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80358","description":"DRUG SCREENING METHADONE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING METHYLPHENIDATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80360","description":"DRUG SCREENING METHYLPHENIDATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING OPIATES 1 OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80361","description":"DRUG SCREENING OPIATES 1 OR MORE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING OPIOIDS  and  OPIATE ANALOGS 5/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80364","description":"DRUG SCREENING OPIOIDS  and  OPIATE ANALOGS 5/MORE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 1 OR 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80362","description":"DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 1 OR 2","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 3 OR 4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80363","description":"DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 3 OR 4","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING OXYCODONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80365","description":"DRUG SCREENING OXYCODONE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING PREGABALIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80366","description":"DRUG SCREENING PREGABALIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING PROPOXYPHENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80367","description":"DRUG SCREENING PROPOXYPHENE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING SEDATIVE HYPNOTICS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80368","description":"DRUG SCREENING SEDATIVE HYPNOTICS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING SKEL MUSCLE RELAXANTS 3 OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80370","description":"DRUG SCREENING SKEL MUSCLE RELAXANTS 3 OR MORE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING SKELETAL MUSCLE RELAXANTS 1 OR 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80369","description":"DRUG SCREENING SKELETAL MUSCLE RELAXANTS 1 OR 2","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING STIMULANTS SYNTHETIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80371","description":"DRUG SCREENING STIMULANTS SYNTHETIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING TAPENTADOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80372","description":"DRUG SCREENING TAPENTADOL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREENING TRAMADOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80373","description":"DRUG SCREENING TRAMADOL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCRN 1 PLUS  CLASS NONCHROMO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80104","description":"DRUG SCRN 1 PLUS  CLASS NONCHROMO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCRN QUAL; MX NOT CHROMATOGRPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0430","description":"DRUG SCRN QUAL; MX NOT CHROMATOGRPH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80375","description":"DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 4-6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80376","description":"DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 4-6","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80377","description":"DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUGS/MEDICAMENTS DISPENSED OFFICE FOR HOME USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9630","description":"DRUGS/MEDICAMENTS DISPENSED OFFICE FOR HOME USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROFIBROMAS XTNSV FACE HEAD NECK  GT 50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0419T","description":"DSTRJ NEUROFIBROMAS XTNSV FACE HEAD NECK  GT 50","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROFIBROMAS XTNSV TRNK EXTREMITIES  GT 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0420T","description":"DSTRJ NEUROFIBROMAS XTNSV TRNK EXTREMITIES  GT 100","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NULYT PVRT FACET JT NRV CRV THRC 1 LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64626","description":"DSTRJ NULYT PVRT FACET JT NRV CRV THRC 1 LVL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NULYT PVRT FACET JT NRV CRV THRC EA LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64627","description":"DSTRJ NULYT PVRT FACET JT NRV CRV THRC EA LVL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NULYT PVRT FACET JT NRV LMBR SAC 1 LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64622","description":"DSTRJ NULYT PVRT FACET JT NRV LMBR SAC 1 LVL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NULYT PVRT FACET JT NRV LMBR SAC EA LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64623","description":"DSTRJ NULYT PVRT FACET JT NRV LMBR SAC EA LVL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DT MED RSN SRCH NOT CD DICOM F I C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9343","description":"DT MED RSN SRCH NOT CD DICOM F I C","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DTAP HIB VACCINE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90721","description":"DTAP HIB VACCINE IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DTWP-HIB VACCINE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90720","description":"DTWP-HIB VACCINE IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUAL LAYER IMPAX MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4262","description":"DUAL LAYER IMPAX MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENOGRAPY HYPOTONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74260","description":"DUODENOGRAPY HYPOTONIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLICATE/COPY PATIENT'S RECORDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9961","description":"DUPLICATE/COPY PATIENT'S RECORDS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUR MAC PNB NO GA 60 MIN OR GRT ANES RCRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9362","description":"DUR MAC PNB NO GA 60 MIN OR GRT ANES RCRD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUR MAC PNB NO GA NEURAXIAL UNDER 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9363","description":"DUR MAC PNB NO GA NEURAXIAL UNDER 60 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURABLE MEDICAL EQUIPMENT MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1399","description":"DURABLE MEDICAL EQUIPMENT MISCELLANEOUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DVLP CS IMPRV ATTN MEM PROB SOLV PT CTC EA 15 MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0515","description":"DVLP CS IMPRV ATTN MEM PROB SOLV PT CTC EA 15 MN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DVLP DP STRNL WND INF/MEDIASTINIT W/I 30 DA P/O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8571","description":"DVLP DP STRNL WND INF/MEDIASTINIT W/I 30 DA P/O","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX ALYS VESTIBULAR IMPLANT UNI SBSQ PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0729T","description":"DX ALYS VESTIBULAR IMPLANT UNI SBSQ PRGRMG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX ALYS VESTIBULAR IMPLANT UNILATERAL 1ST PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0728T","description":"DX ALYS VESTIBULAR IMPLANT UNILATERAL 1ST PRGRMG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX INTRAOP EPICAR CARDIAC US CHD I and R ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76989","description":"DX INTRAOP EPICAR CARDIAC US CHD I and R ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX INTRAOPERATIVE THORACIC AORTA ULTRASOUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76984","description":"DX INTRAOPERATIVE THORACIC AORTA ULTRASOUND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX NTRAOP EPCAR CAR US CHD PLMT MNPJ and IMG ACQUISJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76988","description":"DX NTRAOP EPCAR CAR US CHD PLMT MNPJ and IMG ACQUISJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DX NTRAOP EPICAR CAR US CHD PLMT and MNP TRNSDCR I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76987","description":"DX NTRAOP EPICAR CAR US CHD PLMT and MNP TRNSDCR I and R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY VERT FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77082","description":"DXA BONE DENSITY VERT FX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC INFRARED BLOOD PERFUSION IMAGING DIRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9723","description":"DYNAMIC INFRARED BLOOD PERFUSION IMAGING DIRI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYSPHAGIA SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5364","description":"DYSPHAGIA SCREENING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"E-STIM 1/MORE AREAS WND CARE OTH THAN DESC G0281","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0282","description":"E-STIM 1/MORE AREAS WND CARE OTH THAN DESC G0281","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"E-STIM AUR ACUPUNCT PNTS; EA 15 MIN 1-1 CNTC PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8930","description":"E-STIM AUR ACUPUNCT PNTS; EA 15 MIN 1-1 CNTC PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"E/M ANNUAL NURSING FACILITY ASSESS STABLE 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99318","description":"E/M ANNUAL NURSING FACILITY ASSESS STABLE 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EACH ADD CERVICAL VERTEBRAL BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2361","description":"EACH ADD CERVICAL VERTEBRAL BODY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EACH ADDITIONAL CAST POST, SAME TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6976","description":"EACH ADDITIONAL CAST POST, SAME TOOTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EACH ADDITIONALL PREFAB POST, SAME TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6977","description":"EACH ADDITIONALL PREFAB POST, SAME TOOTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EAR PIERCING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69090","description":"EAR PIERCING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG  EQ  OR GRT  12  LEADS;TRACING ONLY CMPNT INIT PREV PE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0367","description":"ECG  EQ  OR GRT  12  LEADS;TRACING ONLY CMPNT INIT PREV PE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG  EQ  OR GRT  12 LEADS; I AND R ONLY CMPNT INIT PREV PE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0368","description":"ECG  EQ  OR GRT  12 LEADS; I AND R ONLY CMPNT INIT PREV PE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG AT LEAST 12 LEADS; I AND R CMPNT INIT PREV PE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0366","description":"ECG AT LEAST 12 LEADS; I AND R CMPNT INIT PREV PE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG MON HOME W PHYS REVIEW AND INTERP; 24-HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0347","description":"ECG MON HOME W PHYS REVIEW AND INTERP; 24-HOUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG MON HOME W REC ANALY AND PHYS REV AND INTERP; 24 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0345","description":"ECG MON HOME W REC ANALY AND PHYS REV AND INTERP; 24 HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG MON HOME W REC TRANSMISSION  AND  ANALY; 24 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0346","description":"ECG MON HOME W REC TRANSMISSION  AND  ANALY; 24 HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG MONITOR RECORD, 24 HRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93231","description":"ECG MONITOR RECORD, 24 HRS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG MONITOR REPORT, 24 HRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93230","description":"ECG MONITOR REPORT, 24 HRS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG MONITOR REPORT, 24 HRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93232","description":"ECG MONITOR REPORT, 24 HRS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG MONITOR REPORT, 24 HRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93235","description":"ECG MONITOR REPORT, 24 HRS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG MONITOR REPORT, 24 HRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93236","description":"ECG MONITOR REPORT, 24 HRS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG MONITOR REVIEW, 24 HRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93233","description":"ECG MONITOR REVIEW, 24 HRS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG MONITOR REVIEW, 24 HRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93237","description":"ECG MONITOR REVIEW, 24 HRS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO GUIDANCE RADIOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76950","description":"ECHO GUIDANCE RADIOTHERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHOSCLEROTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2202","description":"ECHOSCLEROTHERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDETATE DISODIUM PER 150 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3520","description":"EDETATE DISODIUM PER 150 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION and TRAINING PT SELF-MGMT NQHP 2-4 PTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98961","description":"EDUCATION and TRAINING PT SELF-MGMT NQHP 2-4 PTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION and TRAINING PT SELF-MGMT NQHP 5-8 PTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98962","description":"EDUCATION and TRAINING PT SELF-MGMT NQHP 5-8 PTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATION and TRAINING PT SELF-MGMT NQHP INDIV PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98960","description":"EDUCATION and TRAINING PT SELF-MGMT NQHP INDIV PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDUCATIONAL SUPPLIES PRV BY THE PHYS AT COST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99071","description":"EDUCATIONAL SUPPLIES PRV BY THE PHYS AT COST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEXIBLE TRANSNASAL DX W/COLLJ SPEC BR/WA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0652T","description":"EGD FLEXIBLE TRANSNASAL DX W/COLLJ SPEC BR/WA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEXIBLE TRANSNASAL W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0653T","description":"EGD FLEXIBLE TRANSNASAL W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEXIBLE TRANSNASAL W/INSJ INTRAL TUBE/CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0654T","description":"EGD FLEXIBLE TRANSNASAL W/INSJ INTRAL TUBE/CATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLX TRNSORL VOL ADJMT NTRGSTR BARIATRIC BALO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0813T","description":"EGD FLX TRNSORL VOL ADJMT NTRGSTR BARIATRIC BALO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB ORTHOTIC ELASTIC PREFAB INCLUDES FITTING and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3701","description":"ELB ORTHOTIC ELASTIC PREFAB INCLUDES FITTING and ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELD MALTX SCR POS F/U NOT DOC NOT ELG F/U PLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8941","description":"ELD MALTX SCR POS F/U NOT DOC NOT ELG F/U PLN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8734","description":"ELDER MALTREATMENT SCREEN DOC NEG F/U NOT REQUIR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELDER MALTREATMENT SCREEN NO F U PLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8538","description":"ELDER MALTREATMENT SCREEN NO F U PLAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS CPLX PRGRMG IINS BLDR DYSF PTN 4 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0590T","description":"ELEC ALYS CPLX PRGRMG IINS BLDR DYSF PTN 4 Plus","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS CPLX PRGRMG IINS SP/SAC NRV 4 Plus PARAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0789T","description":"ELEC ALYS CPLX PRGRMG IINS SP/SAC NRV 4 Plus PARAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN CPLX CRNL NRV 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95974","description":"ELEC ALYS NSTIM PLS GEN CPLX CRNL NRV 1ST HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN CPLX CRNL NRV EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95975","description":"ELEC ALYS NSTIM PLS GEN CPLX CRNL NRV EA 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN CPLX DP BRN 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95978","description":"ELEC ALYS NSTIM PLS GEN CPLX DP BRN 1ST HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN CPLX DP BRN EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95979","description":"ELEC ALYS NSTIM PLS GEN CPLX DP BRN EA 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN VAGUS NRV W/REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0317T","description":"ELEC ALYS NSTIM PLS GEN VAGUS NRV W/REPRGRMG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS SMPL PRGRMG IINS BLDR DYSF PTN 1-3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0589T","description":"ELEC ALYS SMPL PRGRMG IINS BLDR DYSF PTN 1-3","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS SMPL PRGRMG IINS SP/SAC NRV 1-3 PARAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0788T","description":"ELEC ALYS SMPL PRGRMG IINS SP/SAC NRV 1-3 PARAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC WRIST ROTATOR OTTO BOCK EQUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7260","description":"ELEC WRIST ROTATOR OTTO BOCK EQUAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECMAGNET TX 1 OR GT AREA WND CARE NOT G0329/OTH USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0295","description":"ELECMAGNET TX 1 OR GT AREA WND CARE NOT G0329/OTH USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRD/TRANSDUCR E-STIM DVC USED CA TX RPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4555","description":"ELECTRD/TRANSDUCR E-STIM DVC USED CA TX RPL ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL IMPEDANCE SCAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0060T","description":"ELECTRICAL IMPEDANCE SCAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL IMPEDENCE SPECTROSCOPY 1 Plus SKIN LESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0658T","description":"ELECTRICAL IMPEDENCE SPECTROSCOPY 1 Plus SKIN LESIONS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCONVULSIVE THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90870","description":"ELECTROCONVULSIVE THERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":279.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":279.5455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM ALL NIGHT RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95827","description":"ELECTROENCEPHALOGRAM ALL NIGHT RECORDING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROLYSIS EPILATION EACH 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17380","description":"ELECTROLYSIS EPILATION EACH 30 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROMYOGRAPHY BIOFEEDBACK DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0746","description":"ELECTROMYOGRAPHY BIOFEEDBACK DEVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRON BEAM COMPUTED TOMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8092","description":"ELECTRON BEAM COMPUTED TOMOGRAPHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRON MICROSCOPY DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0481","description":"ELECTRON MICROSCOPY DIAGNOSTIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRON WRIST ROTATOR ANALOGUE CONTROL UNB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7272","description":"ELECTRON WRIST ROTATOR ANALOGUE CONTROL UNB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRON WRIST ROTATOR SERVO CONTROL STEEPER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7266","description":"ELECTRON WRIST ROTATOR SERVO CONTROL STEEPER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC MEDICATION COMPLIANCE MANAGE DEVC NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1505","description":"ELECTRONIC MEDICATION COMPLIANCE MANAGE DEVC NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC POSIT OBSTRUCTIVE SLEEP APNEA TX SENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1001","description":"ELECTRONIC POSIT OBSTRUCTIVE SLEEP APNEA TX SENS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC SALIVARY REFLEX STIMULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0755","description":"ELECTRONIC SALIVARY REFLEX STIMULATOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC SPIROMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8190","description":"ELECTRONIC SPIROMETER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC WRIST ROTATOR UTAH ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7261","description":"ELECTRONIC WRIST ROTATOR UTAH ARM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROPHYSIOLOGIC EVAL ICDS W/SS ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0577T","description":"ELECTROPHYSIOLOGIC EVAL ICDS W/SS ELECTRODE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRORETINOGRAPY W INTERPRETATION  AND  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92275","description":"ELECTRORETINOGRAPY W INTERPRETATION  AND  REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELIGIBLE PROFESSIONAL NO PRESCRIBING PRIVILEGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8644","description":"ELIGIBLE PROFESSIONAL NO PRESCRIBING PRIVILEGES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBOLIZATION PROTECTIVE SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1884","description":"EMBOLIZATION PROTECTIVE SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBRYO TRANSFER INTRAUTERINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58974","description":"EMBRYO TRANSFER INTRAUTERINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERG STAT LAB CHARGE PT HOMBOUND/RESID NRS FACL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3601","description":"EMERG STAT LAB CHARGE PT HOMBOUND/RESID NRS FACL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGE MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4297","description":"EMERGE MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY RESPONSE SYSTEM; INSTALLATION AND TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5160","description":"EMERGENCY RESPONSE SYSTEM; INSTALLATION AND TESTING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY RESPONSE SYSTEM; PURCHASE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5162","description":"EMERGENCY RESPONSE SYSTEM; PURCHASE ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY RESPONSE SYSTEM; SERVICE FEE PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5161","description":"EMERGENCY RESPONSE SYSTEM; SERVICE FEE PER MONTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 TRACHEOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7990","description":"EMERGENCY TRACHEOTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMTRICITABINE 200MG AND TFV AF 25MG ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0751","description":"EMTRICITABINE 200MG AND TFV AF 25MG ORAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMTRICITABINE 200MG AND TFV DF 300MG ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0750","description":"EMTRICITABINE 200MG AND TFV DF 300MG ORAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EN TUBE W OR W/O ADAPTER ANY TYPE REPLC ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1013","description":"EN TUBE W OR W/O ADAPTER ANY TYPE REPLC ONLY EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENAMEL MICROABRASION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9970","description":"ENAMEL MICROABRASION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENCEPHALITIS VACCINE SC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90735","description":"ENCEPHALITIS VACCINE SC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDO FT PLICAT STOMCH EPS;INCL ENDO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9724","description":"ENDO FT PLICAT STOMCH EPS;INCL ENDO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDO OUT REDTN GAS POUCH APPL ENDO  and  IL TUBE INS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9785","description":"ENDO OUT REDTN GAS POUCH APPL ENDO  and  IL TUBE INS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDO RETRO IMAG/ILLUMINATION COLONOSCOPE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1749","description":"ENDO RETRO IMAG/ILLUMINATION COLONOSCOPE DEVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDO UG DIR MSR HEP PORTOSYS PRESS GRAD ANY METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9768","description":"ENDO UG DIR MSR HEP PORTOSYS PRESS GRAD ANY METH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOBRONCHIAL US ADD-ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31620","description":"ENDOBRONCHIAL US ADD-ON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDODONTIC THERAPY MOLAR TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3330","description":"ENDODONTIC THERAPY MOLAR TOOTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOFORM DERMAL TEMPLATE, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9367","description":"ENDOFORM DERMAL TEMPLATE, PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPE SINGLE-USE PULMONARY IMAGING/ILLUM DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1601","description":"ENDOSCOPE SINGLE-USE PULMONARY IMAGING/ILLUM DEV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPE SINGLE-USE UPPER GI IMAG/ILLUM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1748","description":"ENDOSCOPE SINGLE-USE UPPER GI IMAG/ILLUM DEVC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPE SINGLE-USE URINARY TRACT IMG/ILLUM DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1747","description":"ENDOSCOPE SINGLE-USE URINARY TRACT IMG/ILLUM DEV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC EPIDURAL LYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0027T","description":"ENDOSCOPIC EPIDURAL LYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPY BALLOON NASAL SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2344","description":"ENDOSCOPY BALLOON NASAL SINUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOTHELIAL FUNCTION ASSESSMENT NON-INVASIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0337T","description":"ENDOTHELIAL FUNCTION ASSESSMENT NON-INVASIVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0620T","description":"ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENEMA BAG WITH TUBING REUSABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4458","description":"ENEMA BAG WITH TUBING REUSABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERAL FEEDING SPLY KIT; ELASTOMERC CTRL FED PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4148","description":"ENTERAL FEEDING SPLY KIT; ELASTOMERC CTRL FED PD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERAL NUT INFUS PUMP - W O ALARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B9000","description":"ENTERAL NUT INFUS PUMP - W O ALARM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F NUTRITION CMPL INHERITED DZ METAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4157","description":"ENTRAL F NUTRITION CMPL INHERITED DZ METAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL F PED SPCL METAB NEEDS INHERITED DZ METAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4162","description":"ENTRAL F PED SPCL METAB NEEDS INHERITED DZ METAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL FORMULA ADLT REPL FLS and LYTES 500 ML  Equal to  1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4102","description":"ENTRAL FORMULA ADLT REPL FLS and LYTES 500 ML  Equal to  1","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRAL FORMULA PED REPL FLS and LYTES 500 ML  Equal to  1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4103","description":"ENTRAL FORMULA PED REPL FLS and LYTES 500 ML  Equal to  1","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRSTML TX REGISTERED NRS CERT ENTRSTML TX-DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9474","description":"ENTRSTML TX REGISTERED NRS CERT ENTRSTML TX-DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENURESIS ALARM AUDITORY BUZZER  and / VIBRATION DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8270","description":"ENURESIS ALARM AUDITORY BUZZER  and / VIBRATION DEVC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","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":"EO ELASTIC W_STAYS PREFAB INCLUDES FITTING and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3700","description":"EO ELASTIC W_STAYS PREFAB INCLUDES FITTING and ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EOM MEOS PMT EOM ENHANCED SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0010","description":"EOM MEOS PMT EOM ENHANCED SERVICES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EOSINOPHIL COUNT BLOOD DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3630","description":"EOSINOPHIL COUNT BLOOD DIRECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPHYS EVAL SUBQ IMPLT DEFIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0326T","description":"EPHYS EVAL SUBQ IMPLT DEFIB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDUROGRAPY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72275","description":"EPIDUROGRAPY RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIFIX OR EPICORD PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4131","description":"EPIFIX OR EPICORD PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIFIX WOUND COVER, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9366","description":"EPIFIX WOUND COVER, PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPILEPSY MEASURES GROUP QUALITY ACTIONS PERFORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8760","description":"EPILEPSY MEASURES GROUP QUALITY ACTIONS PERFORM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EQUESTRIAN/HIPPOTHERAPY PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8940","description":"EQUESTRIAN/HIPPOTHERAPY PER SESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP SPHINCTEROT/PAPILLOT ENDO CANNULATION PAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7543","description":"ERCP SPHINCTEROT/PAPILLOT ENDO CANNULATION PAP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W ABLTJ LES X RMVL FORCEPS CAUT SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43272","description":"ERCP W ABLTJ LES X RMVL FORCEPS CAUT SNARE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W BALO DILAT AMPULLA BILIARY AND  PNCRTC DUX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43271","description":"ERCP W BALO DILAT AMPULLA BILIARY AND  PNCRTC DUX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W INSJ NASOBILIARY NASOPNCRTC DRAINAGE TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43267","description":"ERCP W INSJ NASOBILIARY NASOPNCRTC DRAINAGE TUBE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W INSJ TUBE STENT BILE PANCREATIC DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43268","description":"ERCP W INSJ TUBE STENT BILE PANCREATIC DUCT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W RTRGR RMVL FB AND  CHNG TUBE STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43269","description":"ERCP W RTRGR RMVL FB AND  CHNG TUBE STENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/RM FB/ST BIL/PD and ENDO CAN PAP W/VIS PC/CBD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7560","description":"ERCP W/RM FB/ST BIL/PD and ENDO CAN PAP W/VIS PC/CBD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP WITH BIOPSY SINGLE/MX ENDO CANNULATION PAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7542","description":"ERCP WITH BIOPSY SINGLE/MX ENDO CANNULATION PAP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP WITH OPTICAL ENDOMICROSCOPY ADD ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0397T","description":"ERCP WITH OPTICAL ENDOMICROSCOPY ADD ON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP WITH REMOVAL OF CALCULI/DEB FROM BILIARY/PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7544","description":"ERCP WITH REMOVAL OF CALCULI/DEB FROM BILIARY/PD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERROR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0000","description":"ERROR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERSD PT W DOC HCT  OVER    EQ  TO 33","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8078","description":"ERSD PT W DOC HCT  OVER    EQ  TO 33","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERSD PT W DOC HCT  UNDER  33 OR HGB  UNDER  11","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8079","description":"ERSD PT W DOC HCT  UNDER  33 OR HGB  UNDER  11","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERSD REL SERV HOME DIALYSIS PER DAY; PT 12-19 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0326","description":"ERSD REL SERV HOME DIALYSIS PER DAY; PT 12-19 YR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ES SPH AUGMNT DEVICE REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0393T","description":"ES SPH AUGMNT DEVICE REMOVAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO A PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4272","description":"ESANO A PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AAA, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4273","description":"ESANO AAA, PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO AC, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4274","description":"ESANO AC, PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESANO ACA PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4275","description":"ESANO ACA PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESD INCLUD ENDOSCOPY/COLONOSCOPY MUCOSAL CLOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9779","description":"ESD INCLUD ENDOSCOPY/COLONOSCOPY MUCOSAL CLOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPH BX RPRT W DYSPL INFO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3125F","description":"ESOPH BX RPRT W DYSPL INFO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MOTILITY 3D TOPOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0240T","description":"ESOPH MOTILITY 3D TOPOGRAPHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPH MOTILITY W STIM PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0241T","description":"ESOPH MOTILITY W STIM PERF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL INTUBATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91000","description":"ESOPHAGEAL INTUBATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MUCOSAL INTEGR TST ELEC IMPD TO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9777","description":"ESOPHAGEAL MUCOSAL INTEGR TST ELEC IMPD TO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGUS MOTILITY STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91011","description":"ESOPHAGUS MOTILITY STUDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGUS MOTILITY STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91012","description":"ESOPHAGUS MOTILITY STUDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGSC RGD FLX ABLTJ TUM XCP HOT BX CAUT SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43228","description":"ESPHGSC RGD FLX ABLTJ TUM XCP HOT BX CAUT SNARE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGSC RGD FLX W INSJ PLSTC TUBE STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43219","description":"ESPHGSC RGD FLX W INSJ PLSTC TUBE STENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD DEMO BASIC BUNDLE LEVEL I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9013","description":"ESRD DEMO BASIC BUNDLE LEVEL I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS AND REL SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9014","description":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS AND REL SRVC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD PT DOC DIALYSIS DOS URR  OVER    EQ 65PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8075","description":"ESRD PT DOC DIALYSIS DOS URR  OVER    EQ 65PCT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD PT DOC DIALYSIS DOSE URR  UNDER  65PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8076","description":"ESRD PT DOC DIALYSIS DOSE URR  UNDER  65PCT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD PT RQR HD ACC NOT ELIG AV FIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8085","description":"ESRD PT RQR HD ACC NOT ELIG AV FIST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD PT RQR HD DOC AUTOGN AV FIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8081","description":"ESRD PT RQR HD DOC AUTOGN AV FIST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD PT RQR HD DOC NO AUTOGN AV FST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8082","description":"ESRD PT RQR HD DOC NO AUTOGN AV FST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD PT URR KT V NOT DOC ELIG MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8388","description":"ESRD PT URR KT V NOT DOC ELIG MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD PT WITH HCT OR HGB NOT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8387","description":"ESRD PT WITH HCT OR HGB NOT DOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD REL SERV HOME DIALYSIS PER DAY; PT 2-11 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0325","description":"ESRD REL SERV HOME DIALYSIS PER DAY; PT 2-11 YRS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD REL SERVICE HOME DIALYSIS PER DAY; PT  UNDER  2 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0324","description":"ESRD REL SERVICE HOME DIALYSIS PER DAY; PT  UNDER  2 YR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD REL SRVC DUR TX PTS 20 YRS AND OVR; 1 VST MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0319","description":"ESRD REL SRVC DUR TX PTS 20 YRS AND OVR; 1 VST MONTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SERVICES, DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90922","description":"ESRD RELATED SERVICES, DAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SERVICES, DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90923","description":"ESRD RELATED SERVICES, DAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SERVICES, DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90924","description":"ESRD RELATED SERVICES, DAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SERVICES, DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90925","description":"ESRD RELATED SERVICES, DAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SERVICES, MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90918","description":"ESRD RELATED SERVICES, MONTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SERVICES, MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90919","description":"ESRD RELATED SERVICES, MONTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SERVICES, MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90920","description":"ESRD RELATED SERVICES, MONTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SERVICES, MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90921","description":"ESRD RELATED SERVICES, MONTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESTIM/ELECTROMAGNETIC WOUND TREATMENT DEVC NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0769","description":"ESTIM/ELECTROMAGNETIC WOUND TREATMENT DEVC NOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESW BY PHYS W/ANES INVG LAT HUMERL EPICONDYLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0102T","description":"ESW BY PHYS W/ANES INVG LAT HUMERL EPICONDYLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESW HI ENERGY W TOPCAL APP  AND DRESNG CARE 1ST WND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0299T","description":"ESW HI ENERGY W TOPCAL APP  AND DRESNG CARE 1ST WND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESW HI ENERGY W TOPCAL APP  AND DRESNG CARE ADL WND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0300T","description":"ESW HI ENERGY W TOPCAL APP  AND DRESNG CARE ADL WND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESW INTEGUMENTARY WOUND HEALING EA ADDL WOUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0513T","description":"ESW INTEGUMENTARY WOUND HEALING EA ADDL WOUND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESW INTEGUMENTARY WOUND HEALING INITIAL WOUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0512T","description":"ESW INTEGUMENTARY WOUND HEALING INITIAL WOUND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETONOGESTREL IMPL SYSTEM INCL IMPL AND SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0180","description":"ETONOGESTREL IMPL SYSTEM INCL IMPL AND SUPPLIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETOPOSIDE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9182","description":"ETOPOSIDE 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EV CATHETER DIR CHEM ABLTJ INCMPTNT XTR VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0524T","description":"EV CATHETER DIR CHEM ABLTJ INCMPTNT XTR VEIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF  AND  CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0505T","description":"EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF  AND  CLSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAC MEIBOMIAN GLNDS AUTO HT AND  INTMT PRESS UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0207T","description":"EVAC MEIBOMIAN GLNDS AUTO HT AND  INTMT PRESS UNI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVACUATION MEIBOMIAN GLANDS USING HEAT BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0563T","description":"EVACUATION MEIBOMIAN GLANDS USING HEAT BILATERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL FOR MOD/DEEP SEDATION/GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9219","description":"EVAL FOR MOD/DEEP SEDATION/GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92618","description":"EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV F2F 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92605","description":"EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV F2F 1ST HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL SPEECH LANG VOICE COMMUNJ  AND  AUDITORY PROCES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92506","description":"EVAL SPEECH LANG VOICE COMMUNJ  AND  AUDITORY PROCES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9156","description":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION BY OCCULARIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9150","description":"EVALUATION BY OCCULARIST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC CATHETER-DELIVRD PROSTH AORTIC HEART VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0256T","description":"EVASC CATHETER-DELIVRD PROSTH AORTIC HEART VALVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC ILIAC ART BIFURC W ENDOPROSTH UNI RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0255T","description":"EVASC ILIAC ART BIFURC W ENDOPROSTH UNI RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR AAA AORTO-UNIILIAC AORTO-UNIFEM PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34805","description":"EVASC RPR AAA AORTO-UNIILIAC AORTO-UNIFEM PROSTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR AAA PSEUDOARYSM ABDL AORTA VISC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0078T","description":"EVASC RPR AAA PSEUDOARYSM ABDL AORTA VISC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR AAA PSEUDOARYSM ABDL AORTA VISC RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0080T","description":"EVASC RPR AAA PSEUDOARYSM ABDL AORTA VISC RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR AAA W AORTO-AORTIC TUBE PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34800","description":"EVASC RPR AAA W AORTO-AORTIC TUBE PROSTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR AAA W MDLR BFRC PROSTH 1 LIMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34802","description":"EVASC RPR AAA W MDLR BFRC PROSTH 1 LIMB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR AAA W MDLR BFRC PROSTH 2 LIMBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34803","description":"EVASC RPR AAA W MDLR BFRC PROSTH 2 LIMBS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR AAA W UNIBDY BFRC PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34804","description":"EVASC RPR AAA W UNIBDY BFRC PROSTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR ILAC ART BIFUR ENDGRFT CATHJ RS AND I UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0254T","description":"EVASC RPR ILAC ART BIFUR ENDGRFT CATHJ RS AND I UNI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR ILIAC ART ILIO-ILIAC PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34900","description":"EVASC RPR ILIAC ART ILIO-ILIAC PROSTHESIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR ILIAC ART W ILIO-ILIAC PROSTH RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75954","description":"EVASC RPR ILIAC ART W ILIO-ILIAC PROSTH RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR INFRARENAL AAA DISSECTION RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75952","description":"EVASC RPR INFRARENAL AAA DISSECTION RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVENT RECORDER CARDIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1764","description":"EVENT RECORDER CARDIAC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92558","description":"EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CHEST TUMOR W RCNSTJ W MEDSTNL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19272","description":"EXC CHEST TUMOR W RCNSTJ W MEDSTNL LMPHADEC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CHEST TUMOR W RCNSTJ W O MEDSTNL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19271","description":"EXC CHEST TUMOR W RCNSTJ W O MEDSTNL LMPHADEC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCAVATION TOOTH RSLT IN DETERM NON-RSTRBILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2989","description":"EXCAVATION TOOTH RSLT IN DETERM NON-RSTRBILITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCHANGE NEPHROSTOMY CATH PERQ UE STRICT BLN DIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7548","description":"EXCHANGE NEPHROSTOMY CATH PERQ UE STRICT BLN DIL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCHNG CATH THROMBOLYTIC THERAPY W CONTRAST RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75900","description":"EXCHNG CATH THROMBOLYTIC THERAPY W CONTRAST RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCHNG PREV PLACED IV CATH THROMBOLYTIC THER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37209","description":"EXCHNG PREV PLACED IV CATH THROMBOLYTIC THER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCIS TISS NOT EVAL IMAG IO CONFRM INCL TARG LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8874","description":"EXCIS TISS NOT EVAL IMAG IO CONFRM INCL TARG LES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISED TISS EVAL IMAG INTRAOP CNF INCL TGT LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8872","description":"EXCISED TISS EVAL IMAG INTRAOP CNF INCL TGT LES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHEST WALL TUMOR INCLUDING RIBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19260","description":"EXCISION CHEST WALL TUMOR INCLUDING RIBS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAJ PN NEUROMA NO SC IMP NE INTO BN/MSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7551","description":"EXCISION MAJ PN NEUROMA NO SC IMP NE INTO BN/MSC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF RECTAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45170","description":"EXCISION OF RECTAL LESION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF SALIVARY GLAND BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7981","description":"EXCISION OF SALIVARY GLAND BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISIONAL BIOPSY OF MINOR SALIVARY GLANDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7284","description":"EXCISIONAL BIOPSY OF MINOR SALIVARY GLANDS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXEMESTANE 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0156","description":"EXEMESTANE 25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXERC CARDIO GAS REBREATHE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0105T","description":"EXERC CARDIO GAS REBREATHE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXERCISE CLASSES NON-PHYSICIAN PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9451","description":"EXERCISE CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXERCISE EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9300","description":"EXERCISE EQUIPMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXHALED BREATH CONDENSATE PH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0140T","description":"EXHALED BREATH CONDENSATE PH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPIRED GAS COLLECTION QUANT 1 PROCEDURE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94250","description":"EXPIRED GAS COLLECTION QUANT 1 PROCEDURE SPX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL N FLWD SURG RPR W WO LYSIS FEMORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35721","description":"EXPL N FLWD SURG RPR W WO LYSIS FEMORAL ARTERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL N FLWD SURG RPR W WO LYSIS OTHER ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35761","description":"EXPL N FLWD SURG RPR W WO LYSIS OTHER ARTERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL N FLWD SURG RPR W WO LYSIS POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35741","description":"EXPL N FLWD SURG RPR W WO LYSIS POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION ORBIT TRANSCRANIAL APPROACH W BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61332","description":"EXPLORATION ORBIT TRANSCRANIAL APPROACH W BIOPSY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORE ORBIT REMOVE OBJECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61334","description":"EXPLORE ORBIT REMOVE OBJECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPOSURE BEHAV ASSESSMENT ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0363T","description":"EXPOSURE BEHAV ASSESSMENT ADDL 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPOSURE BEHAVIOR TREATMENT ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0374T","description":"EXPOSURE BEHAVIOR TREATMENT ADDL 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXSUFFLATION BELT INCLUDES ALL SUPPLIES  and  ACCES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1021","description":"EXSUFFLATION BELT INCLUDES ALL SUPPLIES  and  ACCES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT BLEACH HOM APPLIC-ARCH; MATL FAB CSTM TRAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9975","description":"EXT BLEACH HOM APPLIC-ARCH; MATL FAB CSTM TRAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT LINE W/EASY LOCK CONNECTORS USED W/DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4673","description":"EXT LINE W/EASY LOCK CONNECTORS USED W/DIALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT RCHG SYS BAT USE IM CARD CCM GEN REPLC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1030","description":"EXT RCHG SYS BAT USE IM CARD CCM GEN REPLC ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTENSIVE FINGER SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26261","description":"EXTENSIVE FINGER SURGERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTENSIVE HAND SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26255","description":"EXTENSIVE HAND SURGERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTENSIVE HIP SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27079","description":"EXTENSIVE HIP SURGERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTENSIVE HUMERUS SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24151","description":"EXTENSIVE HUMERUS SURGERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTENSIVE RADIUS SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24153","description":"EXTENSIVE RADIUS SURGERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL AMB INFUS PUMP INSULIN DOS RATE ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0787","description":"EXTERNAL AMB INFUS PUMP INSULIN DOS RATE ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL AMB INSULIN DEL SYSTEM DISPOSABLE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9274","description":"EXTERNAL AMB INSULIN DEL SYSTEM DISPOSABLE EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL BLEACHING - PER ARCH - PERFORMED OFFICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9972","description":"EXTERNAL BLEACHING - PER ARCH - PERFORMED OFFICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL BLEACHING - PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9973","description":"EXTERNAL BLEACHING - PER TOOTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL CIRCULATION ASSIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0049T","description":"EXTERNAL CIRCULATION ASSIST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL CIRCULATION ASSIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33960","description":"EXTERNAL CIRCULATION ASSIST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL CIRCULATION ASSIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33961","description":"EXTERNAL CIRCULATION ASSIST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D REVIEW  and  INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93244","description":"EXTERNAL ECG REC GT 48HR LT 7D REVIEW  and  INTERPRETATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D SCANNING ALYS W/REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93243","description":"EXTERNAL ECG REC GT 48HR LT 7D SCANNING ALYS W/REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D SCANNING ALYS W/REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93247","description":"EXTERNAL ECG REC GT 7D LT 15D SCANNING ALYS W/REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL UL TREMOR STIM PERIPH NERVES WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1018","description":"EXTERNAL UL TREMOR STIM PERIPH NERVES WRIST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTND CUL OOCYTE/EMBRYO 4-7 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89272","description":"EXTND CUL OOCYTE/EMBRYO 4-7 DAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRA-ORAL - 2D PROJECTION X-RAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0250","description":"EXTRA-ORAL - 2D PROJECTION X-RAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRA-ORAL POST DENTAL RAD IMG - IMG CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0705","description":"EXTRA-ORAL POST DENTAL RAD IMG - IMG CAP ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRA-ORAL POSTERIOR DENTAL RADIOGRAPHIC IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0251","description":"EXTRA-ORAL POSTERIOR DENTAL RADIOGRAPHIC IMAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACORP SHOCK WV TX MS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0019T","description":"EXTRACORP SHOCK WV TX MS NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0101T","description":"EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY GALL STONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9034","description":"EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY GALL STONES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRAORAL-EA ADD RADIOGRAPHIC IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0260","description":"EXTRAORAL-EA ADD RADIOGRAPHIC IMAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTREMITY STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93965","description":"EXTREMITY STUDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE GLASS CASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2756","description":"EYE GLASS CASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE IMG VAL DX 7 SD FLD STEREO PHOTOS RSLT DOC AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2104","description":"EYE IMG VAL DX 7 SD FLD STEREO PHOTOS RSLT DOC AND R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE PAD NON-STERILE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6411","description":"EYE PAD NON-STERILE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE PATCH OCCLUSIVE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6412","description":"EYE PATCH OCCLUSIVE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EZ DERM PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4136","description":"EZ DERM PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F U REC INCDNT D PNS NO DOC MED RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9346","description":"F U REC INCDNT D PNS NO DOC MED RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F-18 FDG IMAG USING 2-HEAD COINCIDENCE DETCT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8085","description":"F-18 FDG IMAG USING 2-HEAD COINCIDENCE DETCT SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FABRIC WRAPPING OF ABDOMINAL ANEURYSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0301","description":"FABRIC WRAPPING OF ABDOMINAL ANEURYSM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FABRICATION CSTM RMV CLEAR PLASTIC TEMP AE APPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9938","description":"FABRICATION CSTM RMV CLEAR PLASTIC TEMP AE APPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FABRICATION OF ATHLETIC MOUTHGUARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9941","description":"FABRICATION OF ATHLETIC MOUTHGUARD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAC ONSITE AC TX NSG FAC RES FL/ELCT DO BILL SID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9683","description":"FAC ONSITE AC TX NSG FAC RES FL/ELCT DO BILL SID","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAC SVCS DNTL REHAB PROC ON PT WHO RQRS MON ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0330","description":"FAC SVCS DNTL REHAB PROC ON PT WHO RQRS MON ANES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE-TO-FACE HH NSG VST RHC/FQHC AREA SHTG HHA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0490","description":"FACE-TO-FACE HH NSG VST RHC/FQHC AREA SHTG HHA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACIAL AUGMENTATION IMPLANT PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5925","description":"FACIAL AUGMENTATION IMPLANT PROSTHESIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACIAL MOULAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5912","description":"FACIAL MOULAGE COMPLETE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACIAL MOULAGE SECTIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5911","description":"FACIAL MOULAGE SECTIONAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACIAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5919","description":"FACIAL PROSTHESIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACIAL PROSTHESIS REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5929","description":"FACIAL PROSTHESIS REPLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR IX RIXIBUS PER I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9133","description":"FACTOR IX RIXIBUS PER I.U.","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII ANTIHEMOPHILIC FACTOR PORCINE PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7191","description":"FACTOR VIII ANTIHEMOPHILIC FACTOR PORCINE PER IU","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR XIII TRETTEN PER 10 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9134","description":"FACTOR XIII TRETTEN PER 10 I.U.","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAM ASSESS LIC BHVAL HLTH PROF STATE DEFINED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1011","description":"FAM ASSESS LIC BHVAL HLTH PROF STATE DEFINED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY ADAPT BHV TX GDN PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97156","description":"FAMILY ADAPT BHV TX GDN PHYS/QHP EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY BEHAVIOR TREATMENT GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0370T","description":"FAMILY BEHAVIOR TREATMENT GUIDANCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90846","description":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":145.2939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":145.2939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90847","description":"FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":145.2939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":145.2939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASTING LIPID PROFILE PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8725","description":"FASTING LIPID PROFILE PERFORMED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FC RECEPTOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86243","description":"FC RECEPTOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FCSD US ABLTJ UTERINE LEIOMYOMAT  GT or equal to  200 CC T","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0072T","description":"FCSD US ABLTJ UTERINE LEIOMYOMAT  GT or equal to  200 CC T","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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-APV SIG RX ONLY FOR USE HIV PRE-EXP PPX NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0799","description":"FDA-APV SIG RX ONLY FOR USE HIV PRE-EXP PPX NOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEDERALLY QUALIFIED HEALTH CENTER VISIT ESTAB PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0467","description":"FEDERALLY QUALIFIED HEALTH CENTER VISIT ESTAB PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEDERALLY QUALIFIED HEALTH CENTER VISIT NEW PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0466","description":"FEDERALLY QUALIFIED HEALTH CENTER VISIT NEW PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEDERALLY QUALIFIED HEALTH CENTER VST IPPE/AWV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0468","description":"FEDERALLY QUALIFIED HEALTH CENTER VST IPPE/AWV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEDERALLY QUALIFIED HEALTH CENTER VST MH NEW PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0469","description":"FEDERALLY QUALIFIED HEALTH CENTER VST MH NEW PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEDERALLY QUALIFIED HEALTH CNTR VST MH ESTAB PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0470","description":"FEDERALLY QUALIFIED HEALTH CNTR VST MH ESTAB PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEEDING AID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5951","description":"FEEDING AID","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEMALE PATIENT ANEURYSMS MINOR DIAMETER  OVER 6CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8823","description":"FEMALE PATIENT ANEURYSMS MINOR DIAMETER  OVER 6CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PT ANEURYSMS MINOR DIAMETER 5.6-6.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8824","description":"FEMALE PT ANEURYSMS MINOR DIAMETER 5.6-6.0 CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FENESTRATION SEMICIRCULAR CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69820","description":"FENESTRATION SEMICIRCULAR CANAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FES TRANSQ STIM NERV and /MUSC GRP CMPL SYS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0770","description":"FES TRANSQ STIM NERV and /MUSC GRP CMPL SYS NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL ANEUPLOIDY 21 18 SEQ ANALY TRISOM RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0009M","description":"FETAL ANEUPLOIDY 21 18 SEQ ANALY TRISOM RISK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL ANEUPLOIDY DNA SEQUENCING COMPARATIVE ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0341U","description":"FETAL ANEUPLOIDY DNA SEQUENCING COMPARATIVE ALYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL ANEUPLOIDY DNA SEQUENCING COMPARATIVE ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0341U","description":"FETAL ANEUPLOIDY DNA SEQUENCING COMPARATIVE ALYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL ANEUPLOIDY TRISOM RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0005M","description":"FETAL ANEUPLOIDY TRISOM RISK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL NONSTRESS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59025","description":"FETAL NONSTRESS TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.7505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.7505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETOSCOPIC LASER THERAPY FOR TREATMENT-TTTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2411","description":"FETOSCOPIC LASER THERAPY FOR TREATMENT-TTTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILGRASTIM G-CSF, 480 MCG, INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1441","description":"FILGRASTIM G-CSF, 480 MCG, INJECTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 DICOM IMAG DATA AVAIL PT AU 12-MO AFTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9340","description":"FINAL RPT DICOM IMAG DATA AVAIL PT AU 12-MO AFTR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINANCIAL MGMT SELF-DIRECTED WAIVER; PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2040","description":"FINANCIAL MGMT SELF-DIRECTED WAIVER; PER 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINASTERIDE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0138","description":"FINASTERIDE 5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/MR GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10011","description":"FINE NEEDLE ASPIRATION BX W/MR GDN 1ST LESION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/MR GDN EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10012","description":"FINE NEEDLE ASPIRATION BX W/MR GDN EA ADDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION WITH IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10022","description":"FINE NEEDLE ASPIRATION WITH IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FISTULA CANNULATION SET FOR HEMODIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4730","description":"FISTULA CANNULATION SET FOR HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITG C-LENS TX DISEASE SUPPLY LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92070","description":"FITG C-LENS TX DISEASE SUPPLY LENS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING SPECTACLE MNTD LOW VISION AID 1ELMNT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92354","description":"FITTING SPECTACLE MNTD LOW VISION AID 1ELMNT SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SPECTACLE MNTD LOW VISION AID CMPND LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92355","description":"FITTING SPECTACLE MNTD LOW VISION AID CMPND LENS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SPECTACLE PROSTH APHAKIA MONOFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92352","description":"FITTING SPECTACLE PROSTH APHAKIA MONOFOCAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SPECTACLE PROSTH APHAKIA MULTIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92353","description":"FITTING SPECTACLE PROSTH APHAKIA MULTIFOCAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIXED APPLIANCE THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8220","description":"FIXED APPLIANCE THERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIXED PART DENTURE REPR NEC RESTORATVE MATL FAIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6980","description":"FIXED PART DENTURE REPR NEC RESTORATVE MATL FAIL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIXED PARTIAL DENTURE SECTIONING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9120","description":"FIXED PARTIAL DENTURE SECTIONING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIXJ TONGUE MECHANICAL OTHER THAN SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41500","description":"FIXJ TONGUE MECHANICAL OTHER THAN SUTURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLORBETABEN F18 DIAGN TO 8.1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9458","description":"FLORBETABEN F18 DIAGN TO 8.1 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOTUFOLASTAT F-18 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9156","description":"FLOTUFOLASTAT F-18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOTUFOLASTAT F18 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9608","description":"FLOTUFOLASTAT F18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOWERAMNIOFLO 0.1 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4177","description":"FLOWERAMNIOFLO 0.1 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOWERAMNIOPATCH PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4178","description":"FLOWERAMNIOPATCH PER SQUARE CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOWERDERM PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4179","description":"FLOWERDERM PER SQUARE CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLP NOT PERFORMED REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8728","description":"FLP NOT PERFORMED REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLU IMM ORD RECOM; NOT AVAIL TM VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0919","description":"FLU IMM ORD RECOM; NOT AVAIL TM VST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLU IMMUN NOT ADMIN PREV RECEIVED, REASON NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8641","description":"FLU IMMUN NOT ADMIN PREV RECEIVED, REASON NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLU IMMUNIZATION ADMIN PREV RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8636","description":"FLU IMMUNIZATION ADMIN PREV RECEIVED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLU IMMUNIZATION ADMINISTERED OR PREV RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8639","description":"FLU IMMUNIZATION ADMINISTERED OR PREV RECEIVED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLU IMMUNIZATION NOT ADMIN PREV RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8638","description":"FLU IMMUNIZATION NOT ADMIN PREV RECEIVED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLU VACC STAT SCREEN PT NOT CURR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8425","description":"FLU VACC STAT SCREEN PT NOT CURR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLU VACCINE STATUS WAS NOT SCREENED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8424","description":"FLU VACCINE STATUS WAS NOT SCREENED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLU VIRUS VAC SPLIT VIRUS INTRAMUSCULAR AGRIFLU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2034","description":"FLU VIRUS VAC SPLIT VIRUS INTRAMUSCULAR AGRIFLU","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9588","description":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUDARABINE PHOSPHATE ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9262","description":"FLUDARABINE PHOSPHATE ORAL 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUDARABINE PHOSPHATE ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2025","description":"FLUDARABINE PHOSPHATE ORAL 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUDEOXYGLUCOSE F18 UP TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9609","description":"FLUDEOXYGLUCOSE F18 UP TO 15 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUID CIRCULATING COLD PAD WITH PUMP ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0218","description":"FLUID CIRCULATING COLD PAD WITH PUMP ANY TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUNISOLIDE INHAL COMP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7641","description":"FLUNISOLIDE INHAL COMP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORIDE GEL CARRIER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5986","description":"FLUORIDE GEL CARRIER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9591","description":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROESTRADIOL F18 DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9060","description":"FLUOROESTRADIOL F18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROSCOPY SPX  OVER 1 HOUR PHYS QHP TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76001","description":"FLUOROSCOPY SPX  OVER 1 HOUR PHYS QHP TIME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUTAMIDE ORAL 125 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0175","description":"FLUTAMIDE ORAL 125 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUTEMETAMOL F18 DIAGNOSTC TO 5 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9459","description":"FLUTEMETAMOL F18 DIAGNOSTC TO 5 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9982","description":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FNC ST MSR ODI REP WI 3 MO PREOP  AND  AT 3 MO P O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1050","description":"FNC ST MSR ODI REP WI 3 MO PREOP  AND  AT 3 MO P O","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FNC ST MSR SC OBTD ODI WI 3 MO PREOP  AND  AT 1 Y PO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1042","description":"FNC ST MSR SC OBTD ODI WI 3 MO PREOP  AND  AT 1 Y PO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FNL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG NOT RCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9556","description":"FNL RPT CT CTA MRI/MRA CHST/NCK F/U IMAG NOT RCM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 FINGER KNUCKLE BENDR PREFAB INCLUDES FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3948","description":"FO FINGER KNUCKLE BENDR PREFAB INCLUDES FIT AND ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FO SAFETY PIN MODIFIED PREFAB INCLUDES FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3934","description":"FO SAFETY PIN MODIFIED PREFAB INCLUDES FIT AND ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FO SAFETY PIN SPRING WIRE PREFAB INCL FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3932","description":"FO SAFETY PIN SPRING WIRE PREFAB INCL FIT AND ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOCUS RADIATION BEAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61793","description":"FOCUS RADIATION BEAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOCUSED U/S ABL/TX INT OTH THAN UT LEIOMYOMATA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9734","description":"FOCUSED U/S ABL/TX INT OTH THAN UT LEIOMYOMATA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOLLOWUP CTA, DUPLEX, MRA ABD PELVIS PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8813","description":"FOLLOWUP CTA, DUPLEX, MRA ABD PELVIS PERFORMED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOD THICKENER ADMINISTERED ORALLY PER OUNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4100","description":"FOOD THICKENER ADMINISTERED ORALLY PER OUNCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ADDUCTUS POSITIONING DEVICE ADJUSTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1015","description":"FOOT ADDUCTUS POSITIONING DEVICE ADJUSTABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ADDUCTUS POSITIONING DEVICE ADJUSTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3161","description":"FOOT ADDUCTUS POSITIONING DEVICE ADJUSTABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ADJUSTABLE SHOE-STYLED POSITIONING DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3160","description":"FOOT ADJUSTABLE SHOE-STYLED POSITIONING DEVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MOLDED SHOE PLASTAZOTE CUSTOM FITTED EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3253","description":"FOOT MOLDED SHOE PLASTAZOTE CUSTOM FITTED EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT PRESSURE OFF LOAD/SUPP DEVICE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9283","description":"FOOT PRESSURE OFF LOAD/SUPP DEVICE ANY TYPE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT SHOE MOLDED PATIENT MODEL SILICONE SHOE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3251","description":"FOOT SHOE MOLDED PATIENT MODEL SILICONE SHOE EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT SHOE MOLDED PT MDL PLASTAZOTE CSTM FABR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3252","description":"FOOT SHOE MOLDED PT MDL PLASTAZOTE CSTM FABR EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOR DIAB ONLY MX DEN INSRT DIR CARV CSTM FAB EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0903","description":"FOR DIAB ONLY MX DEN INSRT DIR CARV CSTM FAB EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORMOTEROL FUMARATE I SOL NONCOMPND UNIT 20 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4099","description":"FORMOTEROL FUMARATE I SOL NONCOMPND UNIT 20 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FORMOTEROL INHAL COMP PROD UNIT DOSE FORM 12 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7640","description":"FORMOTEROL INHAL COMP PROD UNIT DOSE FORM 12 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOSTER CARE ADULT; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5140","description":"FOSTER CARE ADULT; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOSTER CARE ADULT; PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5141","description":"FOSTER CARE ADULT; PER MONTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOSTER CARE CHILD NON-THERAPEUTIC PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0041","description":"FOSTER CARE CHILD NON-THERAPEUTIC PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOSTER CARE CHILD NON-THERAPEUTIC PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0042","description":"FOSTER CARE CHILD NON-THERAPEUTIC PER MONTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOSTER CARE THERAPEUTIC CHILD; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5145","description":"FOSTER CARE THERAPEUTIC CHILD; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOSTER CARE THERAPEUTIC CHILD; PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5146","description":"FOSTER CARE THERAPEUTIC CHILD; PER MONTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FR FRZ P HT COVID-19 CONV FRZ WI 8 HRS COLL EA U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9507","description":"FR FRZ P HT COVID-19 CONV FRZ WI 8 HRS COLL EA U","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTIONAL ABL LSR FENESTRATION EA ADDL 100 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0480T","description":"FRACTIONAL ABL LSR FENESTRATION EA ADDL 100 SQCM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTIONAL ABL LSR FENESTRATION FIRST 100 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0479T","description":"FRACTIONAL ABL LSR FENESTRATION FIRST 100 SQCM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OMENTAL FLAP W/MICROVASCULAR ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49906","description":"FREE OMENTAL FLAP W/MICROVASCULAR ANAST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE SOFT TISSUE GRAFT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4271","description":"FREE SOFT TISSUE GRAFT PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRENULECTOMY SEP PROC NOT INCIDENTL ANOTHER PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7960","description":"FRENULECTOMY SEP PROC NOT INCIDENTL ANOTHER PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRESH FROZEN PLASMA DONOR RETESTED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9060","description":"FRESH FROZEN PLASMA DONOR RETESTED EACH UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRESH FROZEN PLASMA THAWING EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86927","description":"FRESH FROZEN PLASMA THAWING EACH UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRESH FRZN PLASMA BETWN 8-24 HR CLCT EA UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9059","description":"FRESH FRZN PLASMA BETWN 8-24 HR CLCT EA UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONTIER EXTENDED STAY CLIN DEMO CMS DEMO PROJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9140","description":"FRONTIER EXTENDED STAY CLIN DEMO CMS DEMO PROJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FROZEN BLOOD EACH UNIT FREEZING  AND  THAWING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86932","description":"FROZEN BLOOD EACH UNIT FREEZING  AND  THAWING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FROZEN BLOOD EACH UNIT THAWING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86931","description":"FROZEN BLOOD EACH UNIT THAWING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FROZEN IN VITRO FERTILIZATION CYCLE CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4016","description":"FROZEN IN VITRO FERTILIZATION CYCLE CASE RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRZN EMB TRANS PROC CANCEL BEFR TRANS CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4018","description":"FRZN EMB TRANS PROC CANCEL BEFR TRANS CASE RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTL ANEUPLOIDY TRISOMY 21 18 13 DNA MAT PLSM ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0168U","description":"FTL ANEUPLOIDY TRISOMY 21 18 13 DNA MAT PLSM ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTL CGEN ABNOR AND PRNT COMP 5 ANAL ASSMT Y CHRMSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0126U","description":"FTL CGEN ABNOR AND PRNT COMP 5 ANAL ASSMT Y CHRMSM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTL CGEN ABNOR AND PRNT COMP 5 ANALYTES ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0125U","description":"FTL CGEN ABNOR AND PRNT COMP 5 ANALYTES ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTL CGEN ABNOR BIOCHEM ASSAY 3 ANALYTES ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0124U","description":"FTL CGEN ABNOR BIOCHEM ASSAY 3 ANALYTES ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MSR SC OBTD ODI WI 3M PREOP  AND  AT 3M PO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1048","description":"FUNC ST MSR SC OBTD ODI WI 3M PREOP  AND  AT 3M PO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 STS  MSR ODI WI 3 MOS PREOP  AND  AT 1 YR P O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1044","description":"FUNC STS  MSR ODI WI 3 MOS PREOP  AND  AT 1 YR P O","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNC STS MSR OKS WI 3 MO PREOP  AND  AT 1 YEAR P O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1047","description":"FUNC STS MSR OKS WI 3 MO PREOP  AND  AT 1 YEAR P O","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCTIONAL RESIDUAL CAPACITY OR RESIDUAL VOLUME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94240","description":"FUNCTIONAL RESIDUAL CAPACITY OR RESIDUAL VOLUME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUSION 2/MORE 3D IMAGES VOLUME 1/MORE MODALITIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0395","description":"FUSION 2/MORE 3D IMAGES VOLUME 1/MORE MODALITIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUSION OF BILE DUCT CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47719","description":"FUSION OF BILE DUCT CYST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUSION OF FACIAL OTHER NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64870","description":"FUSION OF FACIAL OTHER NERVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Factor IX, Alprolix, per i.u.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9135","description":"Factor IX, Alprolix, per i.u.","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAIT TRAINER PED SZ ANT SUPP W/ALL ACSS and CMPNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E8002","description":"GAIT TRAINER PED SZ ANT SUPP W/ALL ACSS and CMPNTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAIT TRAINER PED SZ POST SUPP W/ALL ACSS and CMPNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E8000","description":"GAIT TRAINER PED SZ POST SUPP W/ALL ACSS and CMPNTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAIT TRAINER PED SZ UPRT SUPP W/ALL ACSS and CMPNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E8001","description":"GAIT TRAINER PED SZ UPRT SUPP W/ALL ACSS and CMPNTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9587","description":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 DOTATOC DIAGNOSTIC 0.01 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9067","description":"GALLIUM GA-68 DOTATOC DIAGNOSTIC 0.01 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCLA 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9594","description":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCLA 1 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCSF 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9593","description":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCSF 1 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMMAPLEX IVIG, 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9270","description":"GAMMAPLEX IVIG, 500 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GARMENT BELT SLEEVE OTH ELASTIC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4466","description":"GARMENT BELT SLEEVE OTH ELASTIC EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAS LIQUID CHROMATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82486","description":"GAS LIQUID CHROMATOGRAPHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC ANALYSIS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91052","description":"GASTRIC ANALYSIS TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBATION FOR SMEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91055","description":"GASTRIC INTUBATION FOR SMEAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBATION TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91105","description":"GASTRIC INTUBATION TREATMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROINTESTINAL FAT ABSORPTION STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3708","description":"GASTROINTESTINAL FAT ABSORPTION STUDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY   J-TUBE ANY MATERIAL ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4086","description":"GASTROSTOMY   J-TUBE ANY MATERIAL ANY TYPE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEFITINIB ORAL 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8565","description":"GEFITINIB ORAL 250 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEL SHEET FOR DERMAL/EPIDERMAL APPLICATION EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6025","description":"GEL SHEET FOR DERMAL/EPIDERMAL APPLICATION EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN NEUROSTIM HIGH FREQ RECHARG BATT  AND  CHARG SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1822","description":"GEN NEUROSTIM HIGH FREQ RECHARG BATT  AND  CHARG SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN NEUROSTIM NONRCHRGBL W/CAR SIN BR STIM LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1825","description":"GEN NEUROSTIM NONRCHRGBL W/CAR SIN BR STIM LEAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN NEUROSTIM W/RECHRG BATTERY  and  CHARGING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1820","description":"GEN NEUROSTIM W/RECHRG BATTERY  and  CHARGING SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN NS NON-RC IMPL STIM LEAD  and  EXT PRD STIM CTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1827","description":"GEN NS NON-RC IMPL STIM LEAD  and  EXT PRD STIM CTRL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENE EXPRESSION PROFILING PANL MGMT BREAST CA TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3854","description":"GENE EXPRESSION PROFILING PANL MGMT BREAST CA TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENE SEQUENCE ANALYSIS FOR HEMOCHROMATOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3837","description":"GENE SEQUENCE ANALYSIS FOR HEMOCHROMATOSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL HEALTH PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80050","description":"GENERAL HEALTH PANEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERATOR CARDIAC CONTRACTILITY MODULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1824","description":"GENERATOR CARDIAC CONTRACTILITY MODULATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERATOR NEUROSTIMULATOR NONRECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1767","description":"GENERATOR NEUROSTIMULATOR NONRECHARGEABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERATOR NEUROSTIMULATOR RC BATT  and  CHARGING SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1826","description":"GENERATOR NEUROSTIMULATOR RC BATT  and  CHARGING SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERATR NEUROSTIM NON-RECHRGABL TV S AND STIM LEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1823","description":"GENERATR NEUROSTIM NON-RECHRGABL TV S AND STIM LEADS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENESIS AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4198","description":"GENESIS AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC ANALY GENE MUTAT HCM INDIV KNOWN HCM FAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3866","description":"GENETIC ANALY GENE MUTAT HCM INDIV KNOWN HCM FAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TEST HNPCC SINGLE MUTATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3831","description":"GENETIC TEST HNPCC SINGLE MUTATION ANALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TEST MUT PRESENILIN 1 GENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3855","description":"GENETIC TEST MUT PRESENILIN 1 GENE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TEST SUSCEPTIBILITY DISEASES-SPEC ANALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0423","description":"GENETIC TEST SUSCEPTIBILITY DISEASES-SPEC ANALY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TEST SUSCEPTIBILITY ORAL DZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0421","description":"GENETIC TEST SUSCEPTIBILITY ORAL DZ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING AMYOTROPHIC LATERAL SCLEROSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3800","description":"GENETIC TESTING AMYOTROPHIC LATERAL SCLEROSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING CARDIAC ION-COMPREHENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3860","description":"GENETIC TESTING CARDIAC ION-COMPREHENSIVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING CARDIAC ION-SPECIFIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3862","description":"GENETIC TESTING CARDIAC ION-SPECIFIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR ALPHA-THALASSEMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3845","description":"GENETIC TESTING FOR ALPHA-THALASSEMIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR CANAVAN DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3851","description":"GENETIC TESTING FOR CANAVAN DISEASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR GAUCHER DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3848","description":"GENETIC TESTING FOR GAUCHER DISEASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR MYOTONIC MUSCULAR DYSTROPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3853","description":"GENETIC TESTING FOR MYOTONIC MUSCULAR DYSTROPHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR NIEMANN-PICK DISEASES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3849","description":"GENETIC TESTING FOR NIEMANN-PICK DISEASES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR RETINOBLASTOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3841","description":"GENETIC TESTING FOR RETINOBLASTOMA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR SICKLE CELL ANEMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3850","description":"GENETIC TESTING FOR SICKLE CELL ANEMIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR TAY-SACHS DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3847","description":"GENETIC TESTING FOR TAY-SACHS DISEASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR VON HIPPEL-LINDAU DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3842","description":"GENETIC TESTING FOR VON HIPPEL-LINDAU DISEASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING HEMOGLOBIN E BETA-THALASSEMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3846","description":"GENETIC TESTING HEMOGLOBIN E BETA-THALASSEMIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING SCN5A  AND  VARIANTS FOR SUSPCTED BS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3861","description":"GENETIC TESTING SCN5A  AND  VARIANTS FOR SUSPCTED BS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME RAPID SEQ ANALYSIS EACH COMPARATOR GENOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0425U","description":"GENOME RAPID SEQ ANALYSIS EACH COMPARATOR GENOME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME ULTRA-RAPID SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0426U","description":"GENOME ULTRA-RAPID SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME ULTRA-RAPID SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0426U","description":"GENOME ULTRA-RAPID SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GERMLN DO GENE REARGMT DETCJ DNA WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0012U","description":"GERMLN DO GENE REARGMT DETCJ DNA WHOLE BLOOD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI BARRETT ESOPH DNA MTHYLTN ALYS ALG DYSP/CA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0398U","description":"GI BARRETT ESOPH DNA MTHYLTN ALYS ALG DYSP/CA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI BARRETT ESOPH DNA MTHYLTN ALYS ALG DYSP/CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0398U","description":"GI BARRETT ESOPH DNA MTHYLTN ALYS ALG DYSP/CA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI BARRETT ESOPH MTHYLTN ALYS ALG DYSP/ESPHGL CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0386U","description":"GI BARRETT ESOPH MTHYLTN ALYS ALG DYSP/ESPHGL CA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI IBS IA ANTI-CDTB AND ANTI-VINCULIN ANTB PLSM ALG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0164U","description":"GI IBS IA ANTI-CDTB AND ANTI-VINCULIN ANTB PLSM ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI IBS IA ANTI-CDTB AND ANTI-VINCULIN ANTB PLSM ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0164U","description":"GI IBS IA ANTI-CDTB AND ANTI-VINCULIN ANTB PLSM ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI MALABS EVAL AAT CALPROTECTIN PNCRTC ELASTASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0430U","description":"GI MALABS EVAL AAT CALPROTECTIN PNCRTC ELASTASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI MYOELECTRICAL ACTIVITY STUDY STMCH-COLON I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0779T","description":"GI MYOELECTRICAL ACTIVITY STUDY STMCH-COLON I and R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI PTHGN MULT REV TRANS AND AMP PRB TECH 22 TRGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0097U","description":"GI PTHGN MULT REV TRANS AND AMP PRB TECH 22 TRGT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRACT TRANSIT AND PRESSURE MEAS W I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0242T","description":"GI TRACT TRANSIT AND PRESSURE MEAS W I AND R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLASSES AIR CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5070","description":"GLASSES AIR CONDUCTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLASSES BONE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5080","description":"GLASSES BONE CONDUCTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PROVOCATIVE TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92140","description":"GLAUCOMA PROVOCATIVE TESTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLAUCOMA SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66165","description":"GLAUCOMA SURGERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOBAL FEE URGENT CARE CENTERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9083","description":"GLOBAL FEE URGENT CARE CENTERS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOBAL FEE XTRACORP SHOCK WAVE LITH KIDNEY STONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0400","description":"GLOBAL FEE XTRACORP SHOCK WAVE LITH KIDNEY STONE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE-TOLBUTAMIDE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82953","description":"GLUCOSE-TOLBUTAMIDE TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCINE RECEPTOR ALPHA1 IGG SERUM/CSF LCBA QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0431U","description":"GLYCINE RECEPTOR ALPHA1 IGG SERUM/CSF LCBA QUAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCINE RECEPTOR ALPHA1 IGG SERUM/CSF LCBA QUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0431U","description":"GLYCINE RECEPTOR ALPHA1 IGG SERUM/CSF LCBA QUAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7642","description":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7643","description":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP STCK FULL LEN/CHAP ST 40MMHG OR LT  CST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6561","description":"GRAD CMP STCK FULL LEN/CHAP ST 40MMHG OR LT  CST EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP STCK FULL LEN/CHAP STY 18-30MMHG CST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6559","description":"GRAD CMP STCK FULL LEN/CHAP STY 18-30MMHG CST EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP STCK FULL LEN/CHAP STY 30-40MMHG CST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6560","description":"GRAD CMP STCK FULL LEN/CHAP STY 30-40MMHG CST EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP STK TH HIGH 40 MM HG/GREATER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6535","description":"GRADIENT COMP STK TH HIGH 40 MM HG/GREATER EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESS STK FULL LENG/CHAP 40MM HG LT  EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6538","description":"GRADIENT COMPRESS STK FULL LENG/CHAP 40MM HG LT  EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION BANDAGING SUPPLY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6609","description":"GRADIENT COMPRESSION BANDAGING SUPPLY NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GMT NOS FOR DAYTIME USE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6549","description":"GRADIENT COMPRESSION GMT NOS FOR DAYTIME USE EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK BELW KNEE 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6530","description":"GRADIENT COMPRESSION STK BELW KNEE 18-30 MMHG EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK THIGH LEN 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6533","description":"GRADIENT COMPRESSION STK THIGH LEN 18-30 MMHG EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK THIGH LEN 30-40 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6534","description":"GRADIENT COMPRESSION STK THIGH LEN 30-40 MMHG EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK WAIST LEN 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6539","description":"GRADIENT COMPRESSION STK WAIST LEN 18-30 MMHG EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK WAIST LEN 30-40 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6540","description":"GRADIENT COMPRESSION STK WAIST LEN 30-40 MMHG EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STK WAIST LENG 40 MM HG LT  EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6541","description":"GRADIENT COMPRESSION STK WAIST LENG 40 MM HG LT  EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STOCKING CUSTOM MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6542","description":"GRADIENT COMPRESSION STOCKING CUSTOM MADE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STOCKING GARTER BELT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6544","description":"GRADIENT COMPRESSION STOCKING GARTER BELT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION STOCKING LYMPHEDEMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6543","description":"GRADIENT COMPRESSION STOCKING LYMPHEDEMA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION WRAP ADJUSTABLE STRAPS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6584","description":"GRADIENT COMPRESSION WRAP ADJUSTABLE STRAPS NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRS STK FULL LEN/CHAP 18-30 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6536","description":"GRADIENT COMPRS STK FULL LEN/CHAP 18-30 MMHG EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRS STK FULL LEN/CHAP 30-40 MMHG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6537","description":"GRADIENT COMPRS STK FULL LEN/CHAP 30-40 MMHG EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GAUNTLET READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8428","description":"GRADIENT PRESSURE AID GAUNTLET READY MADE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GLOVE CUSTOM HEAVY WEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8426","description":"GRADIENT PRESSURE AID GLOVE CUSTOM HEAVY WEIGHT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GLOVE CUSTOM MEDIUM WEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8425","description":"GRADIENT PRESSURE AID GLOVE CUSTOM MEDIUM WEIGHT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID GLOVE READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8427","description":"GRADIENT PRESSURE AID GLOVE READY MADE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE AND GLOVE CUSTOM MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8420","description":"GRADIENT PRESSURE AID SLEEVE AND GLOVE CUSTOM MADE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE AND GLOVE READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8421","description":"GRADIENT PRESSURE AID SLEEVE AND GLOVE READY MADE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE CUSTOM HEAVY WEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8423","description":"GRADIENT PRESSURE AID SLEEVE CUSTOM HEAVY WEIGHT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE CUSTOM MED WEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8422","description":"GRADIENT PRESSURE AID SLEEVE CUSTOM MED WEIGHT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE AID SLEEVE READY MADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8424","description":"GRADIENT PRESSURE AID SLEEVE READY MADE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT PRESSURE EXTERIOR WRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8429","description":"GRADIENT PRESSURE EXTERIOR WRAP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX CORE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9368","description":"GRAFIX CORE PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX PLUS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4304","description":"GRAFIX PLUS PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFIX PRIME PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9369","description":"GRAFIX PRIME PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT TRANSMUR TRANSVN ART BYPASS W/ALL SYS COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1604","description":"GRAFT TRANSMUR TRANSVN ART BYPASS W/ALL SYS COMP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT VASCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1768","description":"GRAFT VASCULAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRANISETRON HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0091","description":"GRANISETRON HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRANULOCYTES PHERESIS EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9050","description":"GRANULOCYTES PHERESIS EACH UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP A STREP TEST PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3210F","description":"GROUP A STREP TEST PERFORMED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP ADAPTIVE BHV TX BY PROTOCOL TECH EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97154","description":"GROUP ADAPTIVE BHV TX BY PROTOCOL TECH EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP BEHAVIOR TREATMENT ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0367T","description":"GROUP BEHAVIOR TREATMENT ADDL 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP BEHAVIOR TREATMENT FIRST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0366T","description":"GROUP BEHAVIOR TREATMENT FIRST 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90853","description":"GROUP PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRP ADAPT BHV PRTCL MODIFCAJ PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97158","description":"GRP ADAPT BHV PRTCL MODIFCAJ PHYS/QHP EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRP PSY DX EV/TX MH/SUBST USE DISOR REM HOSP STF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7903","description":"GRP PSY DX EV/TX MH/SUBST USE DISOR REM HOSP STF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRP PSYCHOTX NOT MX FAM GP PART HSP/OP 45-50 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0410","description":"GRP PSYCHOTX NOT MX FAM GP PART HSP/OP 45-50 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GUID TISS REGEN EDENT AREA-NON-RESORBL BR/SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7957","description":"GUID TISS REGEN EDENT AREA-NON-RESORBL BR/SITE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GUIDED TISSUE REGEN EDENT AREA-RESORBABL BR/SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7956","description":"GUIDED TISSUE REGEN EDENT AREA-RESORBABL BR/SITE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GUIDED TISSUE REGEN-NON-RESORBABLE BR PER IMPLNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6107","description":"GUIDED TISSUE REGEN-NON-RESORBABLE BR PER IMPLNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GUIDED TISSUE REGEN-RESORBABLE BR PER IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6106","description":"GUIDED TISSUE REGEN-RESORBABLE BR PER IMPLANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GUIDEWIRE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1769","description":"GUIDEWIRE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"H O/P CLI SPEC CLCT SARS-COV-2 COVID-19 ANY SRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9803","description":"H O/P CLI SPEC CLCT SARS-COV-2 COVID-19 ANY SRC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"H-REFLEX AMPLT AND LATENCY GASTRCN SOLEUS MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95934","description":"H-REFLEX AMPLT AND LATENCY GASTRCN SOLEUS MUSC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"H-REFLEX AMPLT AND LATENCY OTH THN GASTRCN SOLEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95936","description":"H-REFLEX AMPLT AND LATENCY OTH THN GASTRCN SOLEUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HABERMAN FEEDER FOR CLEFT LIP/PALATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8265","description":"HABERMAN FEEDER FOR CLEFT LIP/PALATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HABILITATION EDUCATIONAL WAIVER; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2012","description":"HABILITATION EDUCATIONAL WAIVER; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HABILITATION EDUCATIONAL WAIVER; PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2013","description":"HABILITATION EDUCATIONAL WAIVER; PER HOUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HABILITATION PREVOCATIONAL WAIVER; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2014","description":"HABILITATION PREVOCATIONAL WAIVER; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HABILITATION PREVOCATIONAL WAIVER; PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2015","description":"HABILITATION PREVOCATIONAL WAIVER; PER HOUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HABILITATION RESIDENTIAL WAIVER; PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2017","description":"HABILITATION RESIDENTIAL WAIVER; PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HABILITATION RESIDENTIAL WAIVER; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2016","description":"HABILITATION RESIDENTIAL WAIVER; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HABILITATION SUPP EMPLOYMENT WAIVER; PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2019","description":"HABILITATION SUPP EMPLOYMENT WAIVER; PER 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HABILITATION SUPP EMPLOYMENT WAIVER; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2018","description":"HABILITATION SUPP EMPLOYMENT WAIVER; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND HELD LOW VISION AND OTH NON SPECTACL MOUNT AIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2600","description":"HAND HELD LOW VISION AND OTH NON SPECTACL MOUNT AIDS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99002","description":"HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HANDLG and /OR CONVEY OF SPEC FOR TR FROM PT TO LAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99001","description":"HANDLG and /OR CONVEY OF SPEC FOR TR FROM PT TO LAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HANDLG and /OR CONVEY OF SPEC FOR TR OFFICE TO LAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99000","description":"HANDLG and /OR CONVEY OF SPEC FOR TR OFFICE TO LAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARDSHIP RURAL WITHOUT INTERNET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8642","description":"HARDSHIP RURAL WITHOUT INTERNET","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARDSHIP WITHOUT SUFFICIENT PHARMACIES WITH E RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8643","description":"HARDSHIP WITHOUT SUFFICIENT PHARMACIES WITH E RX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST DONOR MX-VISCERAL ORGAN; CADVER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2055","description":"HARVEST DONOR MX-VISCERAL ORGAN; CADVER DONOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBA1C IN-OFFICE POINT OF SERVICE TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0411","description":"HBA1C IN-OFFICE POINT OF SERVICE TESTING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HC Q RNA NOT PRF 4-12 WK AV DOC RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9210","description":"HC Q RNA NOT PRF 4-12 WK AV DOC RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HC Q RNA NOT PRF 4-12 WK AV NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9211","description":"HC Q RNA NOT PRF 4-12 WK AV NO RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HC Q RNA PERF 4-12 WK AFTR INIT AV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9209","description":"HC Q RNA PERF 4-12 WK AFTR INIT AV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR BRACHYTX 1 CHANNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77785","description":"HDR BRACHYTX 1 CHANNEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR BRACHYTX 2-12 CHANNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77786","description":"HDR BRACHYTX 2-12 CHANNEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR BRACHYTX OVER 12 CHAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77787","description":"HDR BRACHYTX OVER 12 CHAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR ELECT BRACHYTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0182T","description":"HDR ELECT BRACHYTHERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR ELECTRONIC BRACHYTHERAPY NTRSTL/INTRCAV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0395T","description":"HDR ELECTRONIC BRACHYTHERAPY NTRSTL/INTRCAV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH  AND  WELL-BEING COACHING F2F INDIV 1ST ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0591T","description":"HEALTH  AND  WELL-BEING COACHING F2F INDIV 1ST ASSMT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH  AND  WELL-BEING COACHING F2F INDIV F-UP SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0592T","description":"HEALTH  AND  WELL-BEING COACHING F2F INDIV F-UP SESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH  AND  WELL-BEING COACHING FACE TO FACE GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0593T","description":"HEALTH  AND  WELL-BEING COACHING FACE TO FACE GROUP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96156","description":"HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96170","description":"HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96171","description":"HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96167","description":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96168","description":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96164","description":"HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96165","description":"HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96158","description":"HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96159","description":"HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH CARE PRACTITIONERS RENDERING TIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2021","description":"HEALTH CARE PRACTITIONERS RENDERING TIP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH CLUB MEMBERSHIP ANNUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9970","description":"HEALTH CLUB MEMBERSHIP ANNUAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH RISK ASSESSMENT TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99420","description":"HEALTH RISK ASSESSMENT TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH-REL QOL ASSESS 2 VST and QOL SCORE SAME/IMPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9634","description":"HEALTH-REL QOL ASSESS 2 VST and QOL SCORE SAME/IMPR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH-REL QUAL OF LIFE NOT ASSESS TOOL DOC RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9635","description":"HEALTH-REL QUAL OF LIFE NOT ASSESS TOOL DOC RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH-RELATED QOL NOT ASSESS 2 VST/QOL DECLINED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9636","description":"HEALTH-RELATED QOL NOT ASSESS 2 VST/QOL DECLINED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID BICROS BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5220","description":"HEARING AID BICROS BEHIND THE EAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID BICROS IN THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5210","description":"HEARING AID BICROS IN THE EAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID BILATERAL BODY WORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5100","description":"HEARING AID BILATERAL BODY WORN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ICT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5172","description":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ICT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5171","description":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ITE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL BTE/BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5221","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL BTE/BTE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5215","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/BTE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5214","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/ITC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5213","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/BTE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5212","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5211","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALATERAL ROUT DVC MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5181","description":"HEARING AID CONTRALATERAL ROUT DVC MONAURAL BTE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CROS BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5180","description":"HEARING AID CROS BEHIND THE EAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CROS IN THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5170","description":"HEARING AID CROS IN THE EAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DISPOSABLE ANY TYPE BINAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5263","description":"HEARING AID DISPOSABLE ANY TYPE BINAURAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DISPOSABLE ANY TYPE MONAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5262","description":"HEARING AID DISPOSABLE ANY TYPE MONAURAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5298","description":"HEARING AID NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5008","description":"HEARING SCREENING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING SERVICE MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5299","description":"HEARING SERVICE MISCELLANEOUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEART FAIL PT LVSD NOT DOC ON BB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8031","description":"HEART FAIL PT LVSD NOT DOC ON BB TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEART FUNCTION ADD-ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78480","description":"HEART FUNCTION ADD-ON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEART IMAGE (3D), MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78465","description":"HEART IMAGE (3D), MULTIPLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEART IMAGE (3D), SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78464","description":"HEART IMAGE (3D), SINGLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEART MRI FOR MORPH W DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75553","description":"HEART MRI FOR MORPH W DYE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEART MRI FOR MORPH W O DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75552","description":"HEART MRI FOR MORPH W O DYE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEART MUSCLE BLOOD, MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78461","description":"HEART MUSCLE BLOOD, MULTIPLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEART MUSCLE BLOOD, SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78460","description":"HEART MUSCLE BLOOD, SINGLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEART WALL MOTION ADD-ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78478","description":"HEART WALL MOTION ADD-ON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELICOLL PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4164","description":"HELICOLL PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTIVE HARD CUSTOM FAB COMP ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8003","description":"HELMET PROTECTIVE HARD CUSTOM FAB COMP ACCSSRIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTIVE SOFT CUSTOM FAB COMP ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8002","description":"HELMET PROTECTIVE SOFT CUSTOM FAB COMP ACCSSRIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEM AML DNA GENE REARRANGEMENT BLOOD/BONE MARROW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0056U","description":"HEM AML DNA GENE REARRANGEMENT BLOOD/BONE MARROW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEM HMTLMF NEO GENE REARGMT DNA WHL BLD/MARROW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0014U","description":"HEM HMTLMF NEO GENE REARGMT DNA WHL BLD/MARROW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1086","description":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK/FULL FOOTRESTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMI-WHLCHAIR; FIX FULL ARMS DTACHBLE FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1085","description":"HEMI-WHLCHAIR; FIX FULL ARMS DTACHBLE FOOTRESTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMO TX PERF EXACTLY 3X PW OVER 90 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8714","description":"HEMO TX PERF EXACTLY 3X PW OVER 90 DAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALY, PERITON DIALYS, OR KIDNEY TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8727","description":"HEMODIALY, PERITON DIALYS, OR KIDNEY TRANSPLANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS ACCESS FLOW STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90940","description":"HEMODIALYSIS ACCESS FLOW STUDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS MACHINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1590","description":"HEMODIALYSIS MACHINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS NOT 3 TIMES PER WEEK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8715","description":"HEMODIALYSIS NOT 3 TIMES PER WEEK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOPHILIA CLOTTING FACTOR NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7199","description":"HEMOPHILIA CLOTTING FACTOR NOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOSTATIC AGENT GASTROINTESTINAL TOPICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1052","description":"HEMOSTATIC AGENT GASTROINTESTINAL TOPICAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOSTATS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1637","description":"HEMOSTATS EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP A VAC SERIES RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4154F","description":"HEP A VAC SERIES RECOMMENDED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP B VAC ADM PREV AND REC 1ST ANTI-TNF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8870","description":"HEP B VAC ADM PREV AND REC 1ST ANTI-TNF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP B VAC INJECTION ADMIN PREVIOUSLY RCVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4275F","description":"HEP B VAC INJECTION ADMIN PREVIOUSLY RCVD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP B VAC SERIES RECOMMENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4156F","description":"HEP B VAC SERIES RECOMMENDED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP C GENOTYP DOC 12 MO PRI INIT AV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9207","description":"HEP C GENOTYP DOC 12 MO PRI INIT AV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP C GT NOT DOC 12 MO PRI INIT AV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9208","description":"HEP C GT NOT DOC 12 MO PRI INIT AV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEP NAFLD SEMIQ EVAL 28 LIPID MRK SRM NASH/XNASH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0344U","description":"HEP NAFLD SEMIQ EVAL 28 LIPID MRK SRM NASH/XNASH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPA VACCINE 3 DOSE SCHEDULE PED/ADOLESC IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90634","description":"HEPA VACCINE 3 DOSE SCHEDULE PED/ADOLESC IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPARIN INFUSION PUMP FOR HEMODIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1520","description":"HEPARIN INFUSION PUMP FOR HEMODIALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATBL DUX SYS IMG GLBLDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78223","description":"HEPATBL DUX SYS IMG GLBLDR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B SURFACE ANTIGEN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87467","description":"HEPATITIS B SURFACE ANTIGEN QUANTITATIVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOTOMY PRQ DRG ABSCESS CYST 1 2 STAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47011","description":"HEPATOTOMY PRQ DRG ABSCESS CYST 1 2 STAGES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HER2-TARGETED THERAPIES ADM DUR INITIAL CRS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9828","description":"HER2-TARGETED THERAPIES ADM DUR INITIAL CRS TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HER2-TARGETED THERAPIES NOT ADM DUR INIT CRS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9827","description":"HER2-TARGETED THERAPIES NOT ADM DUR INIT CRS TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HER2/NEU NEGATIVE OR UNDOCUMENTED/UNKNOWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9825","description":"HER2/NEU NEGATIVE OR UNDOCUMENTED/UNKNOWN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HER2/NEU POSITIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9830","description":"HER2/NEU POSITIVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HERED COLON CA TARGETED MRNA SEQUENCE ALYS PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0162U","description":"HERED COLON CA TARGETED MRNA SEQUENCE ALYS PANEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HERED PAN CANCER GEN SEQ ALYS PANEL 32 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0104U","description":"HERED PAN CANCER GEN SEQ ALYS PANEL 32 GENES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY DUTY SHOCK ABSORBR HEVY/XTRA HEVY MNL WC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1017","description":"HEVY DUTY SHOCK ABSORBR HEVY/XTRA HEVY MNL WC EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY DUTY SHOCK ABSORBR HEVY/XTRA HEVY PWR WC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1018","description":"HEVY DUTY SHOCK ABSORBR HEVY/XTRA HEVY PWR WC EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WC DTCHBL ARMS SWNG AWAY DTCHBL FTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1290","description":"HEVY-DUTY WC DTCHBL ARMS SWNG AWAY DTCHBL FTRST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY-DUTY WHLCHAIR; FIX ARMS DTACHBLE FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1285","description":"HEVY-DUTY WHLCHAIR; FIX ARMS DTACHBLE FOOTRESTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HF PT LVSD DOC ON BETA-BLOCKER TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8030","description":"HF PT LVSD DOC ON BETA-BLOCKER TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HF PT LVSD DOC ON EITHER ACE1 ARB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8027","description":"HF PT LVSD DOC ON EITHER ACE1 ARB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HF PT LVSD NOT DOC ON ACE1 ARB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8028","description":"HF PT LVSD NOT DOC ON ACE1 ARB TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HFO COMPOS ELASTIC PREFAB INCLUDES FITTING AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3946","description":"HFO COMPOS ELASTIC PREFAB INCLUDES FITTING AND ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HFO FNGR EXT W CLOCK SPRING PREFAB INCL FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3928","description":"HFO FNGR EXT W CLOCK SPRING PREFAB INCL FIT AND ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HFO KNUCKL BENDR 2 SEG FLX JNT PREFAB W FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3922","description":"HFO KNUCKL BENDR 2 SEG FLX JNT PREFAB W FIT AND ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HFO KNUCKL BENDR W OUTRIG PREFAB INCL FIT  AND  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3920","description":"HFO KNUCKL BENDR W OUTRIG PREFAB INCL FIT  AND  ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HFO RVRS KNUCKL BENDR W OUTRIG PREFAB W FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3944","description":"HFO RVRS KNUCKL BENDR W OUTRIG PREFAB W FIT AND ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HFO RVRS KNUCKLE BENDR PREFAB INCLUDES FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3942","description":"HFO RVRS KNUCKLE BENDR PREFAB INCLUDES FIT AND ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HFO SPREADING HAND PREFAB INCLUDES FITTING AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3954","description":"HFO SPREADING HAND PREFAB INCLUDES FITTING AND ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB LEVEL MEASUREMENT NOT DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8974","description":"HGB LEVEL MEASUREMENT NOT DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB LEVEL MSR NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0909","description":"HGB LEVEL MSR NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI OSM CONTRST MATL 150-199 MG/ML IODINE CONC ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9959","description":"HI OSM CONTRST MATL 150-199 MG/ML IODINE CONC ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS FOOTREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1090","description":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS FOOTREST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARM DTACH FOOTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1089","description":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARM DTACH FOOTRST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIB VACCINE HBOC IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90645","description":"HIB VACCINE HBOC IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIB VACCINE PRP-D IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90646","description":"HIB VACCINE PRP-D IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 OR GT  ISOCENTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77423","description":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 OR GT  ISOCENTER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 TX AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77422","description":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 TX AREA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH INTENSITY BRACHYTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77781","description":"HIGH INTENSITY BRACHYTHERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH INTENSITY BRACHYTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77782","description":"HIGH INTENSITY BRACHYTHERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH INTENSITY BRACHYTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77783","description":"HIGH INTENSITY BRACHYTHERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH INTENSITY BRACHYTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77784","description":"HIGH INTENSITY BRACHYTHERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP CORE DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2325","description":"HIP CORE DECOMPRESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY AND PHYSICAL RELATED TO SURGICAL PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0260","description":"HISTORY AND PHYSICAL RELATED TO SURGICAL PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF INJECTION DRUG USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9450","description":"HISTORY OF INJECTION DRUG USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTORY OF RECEIVING BLOOD TRANSFUSIONS PRI 1992","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9449","description":"HISTORY OF RECEIVING BLOOD TRANSFUSIONS PRI 1992","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PREOPERATIVE POSTERIOR CAPSULE RUPTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9759","description":"HISTORY PREOPERATIVE POSTERIOR CAPSULE RUPTURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0686T","description":"HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HISTRELIN IMPLANT VANTAS 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9225","description":"HISTRELIN IMPLANT VANTAS 50 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT ALL SPL NECES RESTOR CATH PATENCY/DECLOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5517","description":"HIT ALL SPL NECES RESTOR CATH PATENCY/DECLOT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT ANTI-SPASMOTIC TX; CARE SPL AND EQP PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9363","description":"HIT ANTI-SPASMOTIC TX; CARE SPL AND EQP PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT ANTI-TUMOR NECROS FACTOR IV TX PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9359","description":"HIT ANTI-TUMOR NECROS FACTOR IV TX PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT CORTICOSTEROID INFUS; ADMN SRVC PROF PHRM SR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9490","description":"HIT CORTICOSTEROID INFUS; ADMN SRVC PROF PHRM SR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT IMMUOTHAPY; CARE COORDINATION PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9338","description":"HIT IMMUOTHAPY; CARE COORDINATION PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT IMPLANTED PUMP PAIN MGMT INFUS; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9328","description":"HIT IMPLANTED PUMP PAIN MGMT INFUS; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT INTERFERON W/CARE COORDINATION PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9559","description":"HIT INTERFERON W/CARE COORDINATION PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT SYMPATHOMIMETIC/INOTROPIC AGENT PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9348","description":"HIT SYMPATHOMIMETIC/INOTROPIC AGENT PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT TOTAL PARENTERAL NUTRIT;  GT  3 LITERS-DA -DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9368","description":"HIT TOTAL PARENTERAL NUTRIT;  GT  3 LITERS-DA -DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT TOTAL PARENTERAL NUTRITION; CARE COORD DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9364","description":"HIT TOTAL PARENTERAL NUTRITION; CARE COORD DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT TPN;  GT  1 LITER BUT NOT  GT  2 LITERS-DA-DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9366","description":"HIT TPN;  GT  1 LITER BUT NOT  GT  2 LITERS-DA-DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT TPN;  GT  2 LITERS BUT NOT  GT  3 LITERS-DA -DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9367","description":"HIT TPN;  GT  2 LITERS BUT NOT  GT  3 LITERS-DA -DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIT UNINTRPED LNG-TERM CNTRL RATE IV/SUBQ;-DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9347","description":"HIT UNINTRPED LNG-TERM CNTRL RATE IV/SUBQ;-DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV-1 ANTIBODY TESTING ORAL MUCOSAL TRANSUDATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3645","description":"HIV-1 ANTIBODY TESTING ORAL MUCOSAL TRANSUDATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING LYMPHOCYTE CULTURE PRIMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86822","description":"HLA TYPING LYMPHOCYTE CULTURE PRIMED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLTH AND BEHAVIOR ASSMT EA 15 MIN W PT 1ST ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96150","description":"HLTH AND BEHAVIOR ASSMT EA 15 MIN W PT 1ST ASSMT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLTH AND BEHAVIOR ASSMT EA 15 MIN W PT RE-ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96151","description":"HLTH AND BEHAVIOR ASSMT EA 15 MIN W PT RE-ASSMT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLTH AND BEHAVIOR IVNTJ EA 15 MIN FAM W O PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96155","description":"HLTH AND BEHAVIOR IVNTJ EA 15 MIN FAM W O PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLTH AND BEHAVIOR IVNTJ EA 15 MIN FAM W PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96154","description":"HLTH AND BEHAVIOR IVNTJ EA 15 MIN FAM W PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLTH AND BEHAVIOR IVNTJ EA 15 MIN GRP 2 OR GRT PTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96153","description":"HLTH AND BEHAVIOR IVNTJ EA 15 MIN GRP 2 OR GRT PTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLTH AND BEHAVIOR IVNTJ EA 15 MIN INDIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96152","description":"HLTH AND BEHAVIOR IVNTJ EA 15 MIN INDIV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HM HEALTH SRVC TMED REND TEL/OTH RT AUD-ONLY TS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0321","description":"HM HEALTH SRVC TMED REND TEL/OTH RT AUD-ONLY TS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HMATRIX PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4134","description":"HMATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HMN HLTH FAC 10 AMNIOTIC PATCH HHF10-P PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4224","description":"HMN HLTH FAC 10 AMNIOTIC PATCH HHF10-P PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOLDING CHAMB/SPACR W/AN INHAL/NEBULIZR; W/MASK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8101","description":"HOLDING CHAMB/SPACR W/AN INHAL/NEBULIZR; W/MASK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOLDING CHAMB/SPACR W/INHAL/NEBULIZR; W/O MASK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8100","description":"HOLDING CHAMB/SPACR W/INHAL/NEBULIZR; W/O MASK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOLOTRANSCOBALAMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0103T","description":"HOLOTRANSCOBALAMIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOM HLTH AIDE/CERT NURSE ASST PROV CARE HOM;-HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9122","description":"HOM HLTH AIDE/CERT NURSE ASST PROV CARE HOM;-HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOM INFUS TX TPN; 1 LITER-DAY DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9365","description":"HOM INFUS TX TPN; 1 LITER-DAY DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOM TX IRRIG TX; W/ADMN PHRM SRVC CARE-PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9590","description":"HOM TX IRRIG TX; W/ADMN PHRM SRVC CARE-PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME ADMIN AEROSOLIZED DRUG THERAPY PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9061","description":"HOME ADMIN AEROSOLIZED DRUG THERAPY PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME CARE TRAINING FAMILY; PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5110","description":"HOME CARE TRAINING FAMILY; PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME CARE TRAINING FAMILY; PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5111","description":"HOME CARE TRAINING FAMILY; PER SESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME CARE TRAINING HOME CARE CLIENT PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5108","description":"HOME CARE TRAINING HOME CARE CLIENT PER 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME CARE TRAINING HOME CARE CLIENT PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5109","description":"HOME CARE TRAINING HOME CARE CLIENT PER SESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME CARE TRAINING NON-FAMILY; PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5115","description":"HOME CARE TRAINING NON-FAMILY; PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME CARE TRAINING NON-FAMILY; PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5116","description":"HOME CARE TRAINING NON-FAMILY; PER SESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME DELIV MEALS INCLUDING PREPARATION; PER MEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5170","description":"HOME DELIV MEALS INCLUDING PREPARATION; PER MEAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME GLUCOSE DISPBL MONITOR INCLUDES TEST STRIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9275","description":"HOME GLUCOSE DISPBL MONITOR INCLUDES TEST STRIPS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME HEALTH AIDE/CERTIFIED NURSE ASST PER VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1021","description":"HOME HEALTH AIDE/CERTIFIED NURSE ASST PER VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME HEALTH RESPIRATORY THERAPY INIT EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5180","description":"HOME HEALTH RESPIRATORY THERAPY INIT EVALUATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME HEALTH RESPIRATORY THERAPY NOS PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5181","description":"HOME HEALTH RESPIRATORY THERAPY NOS PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME HEALTH SRVC FURN TMED REND RT TW AUD  and  VITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0320","description":"HOME HEALTH SRVC FURN TMED REND RT TW AUD  and  VITS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS THERAPY ROUTINE SERVICE INFUS DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5035","description":"HOME INFUS THERAPY ROUTINE SERVICE INFUS DEVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS TX ALL SPL NECES MIDLINE CATH INSERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5521","description":"HOME INFUS TX ALL SPL NECES MIDLINE CATH INSERT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS TX ALPHA-1-PROTEINASE INHIBITOR; DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9346","description":"HOME INFUS TX ALPHA-1-PROTEINASE INHIBITOR; DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS TX CATH CARE IMPL ACCESS DEVC DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5502","description":"HOME INFUS TX CATH CARE IMPL ACCESS DEVC DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS TX CATH CARE/MAINT COMPLEX PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5501","description":"HOME INFUS TX CATH CARE/MAINT COMPLEX PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS TX CATH CARE/MAINT NOC; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5497","description":"HOME INFUS TX CATH CARE/MAINT NOC; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS TX CATH CARE/MAINT SIMPLE PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5498","description":"HOME INFUS TX CATH CARE/MAINT SIMPLE PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS TX CONT ANTICOAGULANT INFUS TX DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9336","description":"HOME INFUS TX CONT ANTICOAGULANT INFUS TX DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS TX INSERT MIDLINE CVC NRS SRVC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5523","description":"HOME INFUS TX INSERT MIDLINE CVC NRS SRVC ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUS TX INSERT PICC NRS SRVC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5522","description":"HOME INFUS TX INSERT PICC NRS SRVC ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY ALL SPL NECES CATH REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5518","description":"HOME INFUSION THERAPY ALL SPL NECES CATH REPAIR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY CONT INSULIN; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9353","description":"HOME INFUSION THERAPY CONT INSULIN; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY DIURETIC IV TX;  PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9361","description":"HOME INFUSION THERAPY DIURETIC IV TX;  PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION THERAPY REPAIR OF INFUSION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5036","description":"HOME INFUSION THERAPY REPAIR OF INFUSION DEVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION TX ALL SPL NECES PICC LINE INSERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5520","description":"HOME INFUSION TX ALL SPL NECES PICC LINE INSERT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION TX ANTI-HEMOPHILIC AGENT; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9345","description":"HOME INFUSION TX ANTI-HEMOPHILIC AGENT; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INFUSION TX ENZYME REPL IV TX;  PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9357","description":"HOME INFUSION TX ENZYME REPL IV TX;  PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INJ TX NOC W/CARE COORDINATION PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9542","description":"HOME INJ TX NOC W/CARE COORDINATION PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME INJ TX PLV/OTHER MAB FOR RSV  PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9562","description":"HOME INJ TX PLV/OTHER MAB FOR RSV  PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME MANAGEMENT OF GESTATIONAL DIABETES; DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9214","description":"HOME MANAGEMENT OF GESTATIONAL DIABETES; DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME MANAGEMENT OF PREECLAMPSIA; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9213","description":"HOME MANAGEMENT OF PREECLAMPSIA; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME MANAGEMENT OF PRETERM LABOR PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9208","description":"HOME MANAGEMENT OF PRETERM LABOR PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME MANAGEMENT POSTPARTUM HYPERTENSION PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9212","description":"HOME MANAGEMENT POSTPARTUM HYPERTENSION PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME MGMT PRETERM PRMAT RUPTURE MEMBRANES DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9209","description":"HOME MGMT PRETERM PRMAT RUPTURE MEMBRANES DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME MODIFICATIONS; PER SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5165","description":"HOME MODIFICATIONS; PER SERVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME NFS/SPECIALTY DRUG ADMN PER VISIT  LT 2 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99601","description":"HOME NFS/SPECIALTY DRUG ADMN PER VISIT  LT 2 HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME NFS/SPECIALTY DRUG ADMN PR VST LT 2 HR EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99602","description":"HOME NFS/SPECIALTY DRUG ADMN PR VST LT 2 HR EA ADDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME OR SKILLED NURSING FACILITY PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9529","description":"HOME OR SKILLED NURSING FACILITY PATIENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME THERAPY INTERMITTENT ANTI-EMETIC INJ TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9370","description":"HOME THERAPY INTERMITTENT ANTI-EMETIC INJ TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME THERAPY INTERMITTENT ANTICOAGULANT INJ TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9372","description":"HOME THERAPY INTERMITTENT ANTICOAGULANT INJ TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME THERAPY; ENTERAL NUTRITION; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9340","description":"HOME THERAPY; ENTERAL NUTRITION; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME THERAPY; NOT OTHERWISE CLASSIFIED PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9810","description":"HOME THERAPY; NOT OTHERWISE CLASSIFIED PER HOUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME TRANSFUSION OF BLOOD PRODUCT; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9538","description":"HOME TRANSFUSION OF BLOOD PRODUCT; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME TX; ENTERAL NUTRITION VIA BOLUS; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9343","description":"HOME TX; ENTERAL NUTRITION VIA BOLUS; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME TX; ENTERAL NUTRITION VIA GRAVITY; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9341","description":"HOME TX; ENTERAL NUTRITION VIA GRAVITY; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME TX; ENTERAL NUTRITION VIA PUMP; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9342","description":"HOME TX; ENTERAL NUTRITION VIA PUMP; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VENTILATOR MGMT CARE OVERSIGHT 30 MIN OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94005","description":"HOME VENTILATOR MGMT CARE OVERSIGHT 30 MIN OR GT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 VISIT ASSISTANCE DAILY LIV AND PRSONAL CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99509","description":"HOME VISIT ASSISTANCE DAILY LIV AND PRSONAL CARE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT CARE AND MAINT CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99507","description":"HOME VISIT CARE AND MAINT CATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT FECAL IMPACTION MGMT AND ENEMA ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99511","description":"HOME VISIT FECAL IMPACTION MGMT AND ENEMA ADMN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT FOR WOUND CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9097","description":"HOME VISIT FOR WOUND CARE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT HEMODIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99512","description":"HOME VISIT HEMODIALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT INDIV FAM/MARRIAGE COUNSELING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99510","description":"HOME VISIT INDIV FAM/MARRIAGE COUNSELING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT INTRAMUSCULAR INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99506","description":"HOME VISIT INTRAMUSCULAR INJECTIONS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT MECHANICAL VENTILATION CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99504","description":"HOME VISIT MECHANICAL VENTILATION CARE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT PHOTOTHERAPY SERVICES PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9098","description":"HOME VISIT PHOTOTHERAPY SERVICES PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT PRENATAL MONITORING  AND  ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99500","description":"HOME VISIT PRENATAL MONITORING  AND  ASSESSMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT RESPIRATORY THERAPY CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99503","description":"HOME VISIT RESPIRATORY THERAPY CARE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT STOMA CARE AND MAINT CLST AND CSTOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99505","description":"HOME VISIT STOMA CARE AND MAINT CLST AND CSTOST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VST NEW PATIENT MOD-HI SEVERITY 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99343","description":"HOME VST NEW PATIENT MOD-HI SEVERITY 45 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOMEMAKER SERVICE NOS; PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5130","description":"HOMEMAKER SERVICE NOS; PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOMEMAKER SERVICE NOS; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5131","description":"HOMEMAKER SERVICE NOS; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOS PT TRANS DIR TO A NON-AC CARE FAC FOR ANY DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9801","description":"HOS PT TRANS DIR TO A NON-AC CARE FAC FOR ANY DX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSP BED INSTITUTIONAL TYPE: W/MATTRSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0270","description":"HOSP BED INSTITUTIONAL TYPE: W/MATTRSS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE CARE IN THE HOME PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9126","description":"HOSPICE CARE IN THE HOME PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5006","description":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5008","description":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE CARE PROV LONG TERM CARE FACILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5007","description":"HOSPICE CARE PROV LONG TERM CARE FACILITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE CARE PROV NURSING LTC FACL/NON-SKILL NF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5003","description":"HOSPICE CARE PROV NURSING LTC FACL/NON-SKILL NF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5005","description":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5004","description":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE CONTINUOUS HOME CARE; PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2043","description":"HOSPICE CONTINUOUS HOME CARE; PER HOUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE EVALUATION  AND  CNSL SERVICES PREELECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0337","description":"HOSPICE EVALUATION  AND  CNSL SERVICES PREELECTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE GENERAL INPATIENT CARE; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2045","description":"HOSPICE GENERAL INPATIENT CARE; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE HOME CARE PROVIDED IN A HOSPICE FACILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5010","description":"HOSPICE HOME CARE PROVIDED IN A HOSPICE FACILITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE INPATIENT RESPITE CARE; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2044","description":"HOSPICE INPATIENT RESPITE CARE; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE LONG TERM CARE RM AND BD ONLY PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2046","description":"HOSPICE LONG TERM CARE RM AND BD ONLY PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE ROUTINE HOME CARE; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2042","description":"HOSPICE ROUTINE HOME CARE; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE SERVICES PATIENT PROV ANY TM DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9718","description":"HOSPICE SERVICES PATIENT PROV ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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/HOME HEALTH CARE IN ASSISTED LIVING FACL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5002","description":"HOSPICE/HOME HEALTH CARE IN ASSISTED LIVING FACL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE/HOME HEALTH CARE PROV PT HOME/RESIDENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5001","description":"HOSPICE/HOME HEALTH CARE PROV PT HOME/RESIDENCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPICE/HOME HEALTH CARE PROVIDED IN PLACE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5009","description":"HOSPICE/HOME HEALTH CARE PROVIDED IN PLACE NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED PEDIATRIC ELECTRIC INCLUDE MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0329","description":"HOSPITAL BED PEDIATRIC ELECTRIC INCLUDE MATTRESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL BED PEDIATRIC MANUAL INCLUDES MATTRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0328","description":"HOSPITAL BED PEDIATRIC MANUAL INCLUDES MATTRESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99236","description":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":238.4757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":238.4757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99235","description":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":190.0444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":190.0444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99234","description":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":96.8626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":96.8626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT  GT  30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99239","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT  GT  30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99238","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MANDATED CALL SERVICE IN-HOSPITAL EA HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99026","description":"HOSPITAL MANDATED CALL SERVICE IN-HOSPITAL EA HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL MANDATED CALL SVC OUT-OF-HOSPITAL EA HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99027","description":"HOSPITAL MANDATED CALL SVC OUT-OF-HOSPITAL EA HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OBSERVATION SERVICE PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0378","description":"HOSPITAL OBSERVATION SERVICE PER HOUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OR AMBULATORY SURGICAL CENTER CALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9420","description":"HOSPITAL OR AMBULATORY SURGICAL CENTER CALL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL OUTPATIENT CLIN VISIT ASSESS  AND  MGMT PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0463","description":"HOSPITAL OUTPATIENT CLIN VISIT ASSESS  AND  MGMT PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITALIST SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0310","description":"HOSPITALIST SERVICES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOUSE/EXTENDED CARE FACILITY CALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9410","description":"HOUSE/EXTENDED CARE FACILITY CALL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPV DNA AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87621","description":"HPV DNA AMP PROBE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPV DNA DIR PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87620","description":"HPV DNA DIR PROBE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPV DNA QUANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87622","description":"HPV DNA QUANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPV OROPHARYNGEAL SWAB 14 HIGH-RISK TYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0429U","description":"HPV OROPHARYNGEAL SWAB 14 HIGH-RISK TYPES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPV OROPHARYNGEAL SWAB 14 HIGH-RISK TYPES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0429U","description":"HPV OROPHARYNGEAL SWAB 14 HIGH-RISK TYPES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HT MRI W FLO VEL STRS  AND  DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75564","description":"HT MRI W FLO VEL STRS  AND  DYE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMAN BREAST MILK PROCESSING STORAGE AND DSTRB ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2101","description":"HUMAN BREAST MILK PROCESSING STORAGE AND DSTRB ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMAN FIBRINOGEN CONCENTRATE INJECTION, 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1680","description":"HUMAN FIBRINOGEN CONCENTRATE INJECTION, 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMAN PLASMA FIBRIN SEALANT VAPOR-HEATED SD 2ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9250","description":"HUMAN PLASMA FIBRIN SEALANT VAPOR-HEATED SD 2ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMDIFIR DURABLE GLASS/AUTOCLAVABLE PLSTC BOTTLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0555","description":"HUMDIFIR DURABLE GLASS/AUTOCLAVABLE PLSTC BOTTLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALOMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4117","description":"HYALOMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN DER HYMOVIS IA INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9471","description":"HYALURONAN DER HYMOVIS IA INJ 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN DERIVATIVE DUROLANE IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9465","description":"HYALURONAN DERIVATIVE DUROLANE IA INJ PER DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7326","description":"HYALURONAN/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE VISCO-3 IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7333","description":"HYALURONAN/DERIVATIVE VISCO-3 IA INJ PER DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATE IV INFUSION, ADD-ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90761","description":"HYDRATE IV INFUSION, ADD-ON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDRATION IV INFUSION, INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90760","description":"HYDRATION IV INFUSION, INIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROXYUREA ORAL 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0176","description":"HYDROXYUREA ORAL 500 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROXYZINE PAMOATE 25 MG ORAL NOT  GT 48 HR DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0177","description":"HYDROXYZINE PAMOATE 25 MG ORAL NOT  GT 48 HR DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROXYZINE PAMOATE 50 MG, ORAL LESS THN EQ48H RG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0178","description":"HYDROXYZINE PAMOATE 50 MG, ORAL LESS THN EQ48H RG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYGIENIC ITEM/DEVC DISPBL/NON-DISPBL ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9286","description":"HYGIENIC ITEM/DEVC DISPBL/NON-DISPBL ANY TYPE EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYLAN DER GENVISC 850 FOR IA INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9980","description":"HYLAN DER GENVISC 850 FOR IA INJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERPHENYLALANINEMIA MNTR BLD CARD SAMP QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0382U","description":"HYPERPHENYLALANINEMIA MNTR BLD CARD SAMP QUAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTONIC SALINE SOLUTION 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7131","description":"HYPERTONIC SALINE SOLUTION 1 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTONIC SALINE, 50 OR 100 MEQ, 20 CC VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7130","description":"HYPERTONIC SALINE, 50 OR 100 MEQ, 20 CC VIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPNOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90880","description":"HYPNOTHERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPRBR O2 UND PRSS FULL BDY -30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1300","description":"HYPRBR O2 UND PRSS FULL BDY -30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Hot water bottle","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0220","description":"Hot water bottle","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D APPENDICEAL ABSC PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44901","description":"I AND D APPENDICEAL ABSC PRQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D SOFT TISSUE ABSCESS SUBFASC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20005","description":"I AND D SOFT TISSUE ABSCESS SUBFASC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND REPORT DEMENTIA MEAS GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8902","description":"I INTEND REPORT DEMENTIA MEAS GROUP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND RPT PARKINSONS MEASUR GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8903","description":"I INTEND RPT PARKINSONS MEASUR GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REP HTN MEASURES GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8904","description":"I INTEND TO REP HTN MEASURES GROUP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REP ONCOLOGY MSR GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8977","description":"I INTEND TO REP ONCOLOGY MSR GROUP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REP SLEEP APNEA MSR GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8900","description":"I INTEND TO REP SLEEP APNEA MSR GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REPORT ASTHMA MEAS GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8645","description":"I INTEND TO REPORT ASTHMA MEAS GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REPORT CATARACT MSR GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8906","description":"I INTEND TO REPORT CATARACT MSR GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REPORT COPD MSR GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8898","description":"I INTEND TO REPORT COPD MSR GROUP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REPORT CV PREV MSR GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8905","description":"I INTEND TO REPORT CV PREV MSR GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REPORT DM MSR GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8485","description":"I INTEND TO REPORT DM MSR GROUP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REPORT EXPOS IR MSR GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9238","description":"I INTEND TO REPORT EXPOS IR MSR GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REPORT GEN SURG MSR GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9237","description":"I INTEND TO REPORT GEN SURG MSR GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REPORT HEP C MSR GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8545","description":"I INTEND TO REPORT HEP C MSR GROUP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REPORT HF MSR GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8548","description":"I INTEND TO REPORT HF MSR GROUP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REPORT IBD MSR GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8899","description":"I INTEND TO REPORT IBD MSR GROUP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REPORT RA MSR GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8490","description":"I INTEND TO REPORT RA MSR GROUP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REPORT THE AOE MSR GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9465","description":"I INTEND TO REPORT THE AOE MSR GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REPORT THE CABG MSR GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8544","description":"I INTEND TO REPORT THE CABG MSR GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REPORT THE CKD MSR GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8487","description":"I INTEND TO REPORT THE CKD MSR GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REPORT THE ISCHEMIC VAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8547","description":"I INTEND TO REPORT THE ISCHEMIC VAS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REPORT TKR MSR GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9234","description":"I INTEND TO REPORT TKR MSR GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO REPRT THE CAD MSR GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8489","description":"I INTEND TO REPRT THE CAD MSR GROUP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO RPR THE CV PREV MSR GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9673","description":"I INTEND TO RPR THE CV PREV MSR GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO RPRT SINUSITIS MSR GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9463","description":"I INTEND TO RPRT SINUSITIS MSR GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO RPT BACK PAIN MSR GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8493","description":"I INTEND TO RPT BACK PAIN MSR GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO RPT PREVNTV CARE MSR GP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8486","description":"I INTEND TO RPT PREVNTV CARE MSR GP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTEND TO RPT THE DIAB RP MSR GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9671","description":"I INTEND TO RPT THE DIAB RP MSR GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTND TO RPT MX CHRN COND MSR GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9669","description":"I INTND TO RPT MX CHRN COND MSR GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTND TO RPT PERIOP CARE MSR GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8492","description":"I INTND TO RPT PERIOP CARE MSR GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I INTND TO RPT THE HIV AIDS MSR GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8491","description":"I INTND TO RPT THE HIV AIDS MSR GRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IA DET NA;SEV AC RES SYND SARS-COV-2 COVID-19","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"U0005","description":"IA DET NA;SEV AC RES SYND SARS-COV-2 COVID-19","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD BULK ACOUSTIC WAVE BIOSENSOR IA SARS-COV-2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0408U","description":"IAAD BULK ACOUSTIC WAVE BIOSENSOR IA SARS-COV-2","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SINGLE STEP METHOD NOS EA ORGANISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87450","description":"IAAD IA SINGLE STEP METHOD NOS EA ORGANISM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI LEGIONELLA MICDADEI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87277","description":"IAADI LEGIONELLA MICDADEI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87811","description":"IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BARTONELLA DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87470","description":"IADNA BARTONELLA DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BORRELIA BURGDORFERI QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87477","description":"IADNA BORRELIA BURGDORFERI QUANTIFICATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS B VIRUS DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87515","description":"IADNA HEPATITIS B VIRUS DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87593","description":"IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IC FOR LBW INFANT  UNDER  1500 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99298","description":"IC FOR LBW INFANT  UNDER  1500 GM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IC STENOSIS PT 30-99PCT  NO DOC D IC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8240","description":"IC STENOSIS PT 30-99PCT  NO DOC D IC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IC, INFANT PBW 2501-5000 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99300","description":"IC, INFANT PBW 2501-5000 GM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IC, LBW INFANT 1500-2500 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99299","description":"IC, LBW INFANT 1500-2500 GM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ICAR CATH ABLATION ARRHYTGNIC FOC VENTR TCHYCAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93652","description":"ICAR CATH ABLATION ARRHYTGNIC FOC VENTR TCHYCAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ICAR CATH ABLTJ ARRHYTGNIC FOC SUPVENTR TCHYCAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93651","description":"ICAR CATH ABLTJ ARRHYTGNIC FOC SUPVENTR TCHYCAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ICH ICH-SPEC; EA ADD 1 MUX AB STAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0462","description":"ICH ICH-SPEC; EA ADD 1 MUX AB STAIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IDECABTAG VICLEUC LT or equal to 460MIL BCMA CAR Plus TCEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9081","description":"IDECABTAG VICLEUC LT or equal to 460MIL BCMA CAR Plus TCEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IDX PHQ-9/PHQ-9M SC GT 9 DOC DUR 12 MO DNOMN ID PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9511","description":"IDX PHQ-9/PHQ-9M SC GT 9 DOC DUR 12 MO DNOMN ID PRD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 VACCINE PANDEMIC ADJUVANT FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90667","description":"IIV VACCINE PANDEMIC ADJUVANT FOR IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV VACCINE PANDEMIC FOR INTRAMUSCULAR USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90668","description":"IIV VACCINE PANDEMIC FOR INTRAMUSCULAR USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IIV4 VACC INACTIVATED PRSRV FR 0.25ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90689","description":"IIV4 VACC INACTIVATED PRSRV FR 0.25ML DOS IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY W STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44383","description":"ILEOSCOPY W STENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILESCPY-STOMA;TRANSENDO STENT PLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6018","description":"ILESCPY-STOMA;TRANSENDO STENT PLCMT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILOPROST INHAL SOL NONCOMPND UNIT DOSE 20 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4080","description":"ILOPROST INHAL SOL NONCOMPND UNIT DOSE 20 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90471","description":"IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM INJECTION INTERFERON BETA 1-A, 11 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q3025","description":"IM INJECTION INTERFERON BETA 1-A, 11 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAG NEEDED AS PART CLIN TRL;/OTH CLIN ORD STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9537","description":"IMAG NEEDED AS PART CLIN TRL;/OTH CLIN ORD STUDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 COIL MAGNETIC RESONANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1770","description":"IMAGING COIL MAGNETIC RESONANCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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, CARDIAC CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93555","description":"IMAGING, CARDIAC CATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMAGING, CARDIAC CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93556","description":"IMAGING, CARDIAC CATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMATINIB 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0088","description":"IMATINIB 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMC IMC PER SPEC;1ST SGL MPX AB STN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0461","description":"IMC IMC PER SPEC;1ST SGL MPX AB STN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMG GID PLMT MTLC LOCLZJ CLIP PRQ BRST BX ASPIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19295","description":"IMG GID PLMT MTLC LOCLZJ CLIP PRQ BRST BX ASPIR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 1ST DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0011A","description":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 1ST DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 2ND DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0012A","description":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 2ND DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 3RD DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0013A","description":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 3RD DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 10MCG/0.2ML TRIS-SUCROSE 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0071A","description":"IMM ADMN SARSCOV2 10MCG/0.2ML TRIS-SUCROSE 1ST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 10MCG/0.2ML TRIS-SUCROSE 2ND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0072A","description":"IMM ADMN SARSCOV2 10MCG/0.2ML TRIS-SUCROSE 2ND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 10MCG/0.2ML TRIS-SUCROSE 3RD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0073A","description":"IMM ADMN SARSCOV2 10MCG/0.2ML TRIS-SUCROSE 3RD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 10MCG/0.2ML TRIS-SUCROSE BST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0074A","description":"IMM ADMN SARSCOV2 10MCG/0.2ML TRIS-SUCROSE BST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 25 MCG/0.25 ML 1ST DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0111A","description":"IMM ADMN SARSCOV2 25 MCG/0.25 ML 1ST DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 25 MCG/0.25 ML 2ND DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0112A","description":"IMM ADMN SARSCOV2 25 MCG/0.25 ML 2ND DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 25 MCG/0.25 ML 3RD DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0113A","description":"IMM ADMN SARSCOV2 25 MCG/0.25 ML 3RD DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 1ST DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0001A","description":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 1ST DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 2ND DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0002A","description":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 2ND DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 3RD DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0003A","description":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 3RD DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON BST DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0004A","description":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON BST DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 30MCG/0.3ML TRIS-SUCROSE 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0051A","description":"IMM ADMN SARSCOV2 30MCG/0.3ML TRIS-SUCROSE 1ST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 30MCG/0.3ML TRIS-SUCROSE 2ND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0052A","description":"IMM ADMN SARSCOV2 30MCG/0.3ML TRIS-SUCROSE 2ND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 30MCG/0.3ML TRIS-SUCROSE 3RD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0053A","description":"IMM ADMN SARSCOV2 30MCG/0.3ML TRIS-SUCROSE 3RD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 30MCG/0.3ML TRIS-SUCROSE BST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0054A","description":"IMM ADMN SARSCOV2 30MCG/0.3ML TRIS-SUCROSE BST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 3MCG/0.2ML TRIS-SUCROSE 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0081A","description":"IMM ADMN SARSCOV2 3MCG/0.2ML TRIS-SUCROSE 1ST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 3MCG/0.2ML TRIS-SUCROSE 2ND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0082A","description":"IMM ADMN SARSCOV2 3MCG/0.2ML TRIS-SUCROSE 2ND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 3MCG/0.2ML TRIS-SUCROSE 3RD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0083A","description":"IMM ADMN SARSCOV2 3MCG/0.2ML TRIS-SUCROSE 3RD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 5 MCG/0.5 ML  AS03 EMULSN BST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0104A","description":"IMM ADMN SARSCOV2 5 MCG/0.5 ML  AS03 EMULSN BST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 5 MCG/0.5 ML 1ST DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0041A","description":"IMM ADMN SARSCOV2 5 MCG/0.5 ML 1ST DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 5 MCG/0.5 ML 2ND DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0042A","description":"IMM ADMN SARSCOV2 5 MCG/0.5 ML 2ND DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 50 MCG/0.25 ML BOOSTER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0064A","description":"IMM ADMN SARSCOV2 50 MCG/0.25 ML BOOSTER DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 50 MCG/0.5 ML 1ST DOSE 6-11","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0091A","description":"IMM ADMN SARSCOV2 50 MCG/0.5 ML 1ST DOSE 6-11","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 50 MCG/0.5 ML 2ND DOSE 6-11","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0092A","description":"IMM ADMN SARSCOV2 50 MCG/0.5 ML 2ND DOSE 6-11","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 50 MCG/0.5 ML 3RD DOSE 6-11","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0093A","description":"IMM ADMN SARSCOV2 50 MCG/0.5 ML 3RD DOSE 6-11","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 50 MCG/0.5 ML BOOSTER DOSE 18 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0094A","description":"IMM ADMN SARSCOV2 50 MCG/0.5 ML BOOSTER DOSE 18 Plus","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 5X1010 VP/0.5 ML 1ST DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0021A","description":"IMM ADMN SARSCOV2 5X1010 VP/0.5 ML 1ST DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 5X1010 VP/0.5 ML 2ND DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0022A","description":"IMM ADMN SARSCOV2 5X1010 VP/0.5 ML 2ND DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 AD26 5X1010 VP/0.5 ML 1 DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0031A","description":"IMM ADMN SARSCOV2 AD26 5X1010 VP/0.5 ML 1 DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 AD26 5X1010 VP/0.5 ML BST DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0034A","description":"IMM ADMN SARSCOV2 AD26 5X1010 VP/0.5 ML BST DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0151A","description":"IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML 1ST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0154A","description":"IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML ADDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0164A","description":"IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML ADDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0141A","description":"IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML 1ST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML 2ND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0142A","description":"IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML 2ND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0144A","description":"IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML ADDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 3 MCG/0.2 ML 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0171A","description":"IMM ADMN SARSCOV2 BIVALENT 3 MCG/0.2 ML 1ST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 3 MCG/0.2 ML 2ND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0172A","description":"IMM ADMN SARSCOV2 BIVALENT 3 MCG/0.2 ML 2ND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 3 MCG/0.2 ML 3RD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0173A","description":"IMM ADMN SARSCOV2 BIVALENT 3 MCG/0.2 ML 3RD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 3 MCG/0.2 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0174A","description":"IMM ADMN SARSCOV2 BIVALENT 3 MCG/0.2 ML ADDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 30 MCG/0.3 ML 1 DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0121A","description":"IMM ADMN SARSCOV2 BIVALENT 30 MCG/0.3 ML 1 DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 30 MCG/0.3 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0124A","description":"IMM ADMN SARSCOV2 BIVALENT 30 MCG/0.3 ML ADDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 50 MCG/0.5 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0134A","description":"IMM ADMN SARSCOV2 BIVALENT 50 MCG/0.5 ML ADDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMEDIATE MANDIBULAR PARTIAL DENTURE - FLEX BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5228","description":"IMMEDIATE MANDIBULAR PARTIAL DENTURE - FLEX BASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMEDIATE MAXILLARY PARTIAL DENTURE - FLEX BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5227","description":"IMMEDIATE MAXILLARY PARTIAL DENTURE - FLEX BASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE ADMIN 1 INJ,  UNDER  8 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90465","description":"IMMUNE ADMIN 1 INJ,  UNDER  8 YRS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE ADMIN ADDL INJ,  UNDER  8 Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90466","description":"IMMUNE ADMIN ADDL INJ,  UNDER  8 Y","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE ADMIN H1N1 IM NASAL INCL CNSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90470","description":"IMMUNE ADMIN H1N1 IM NASAL INCL CNSL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE ADMIN O N, ADDL  UNDER  8 Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90468","description":"IMMUNE ADMIN O N, ADDL  UNDER  8 Y","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE ADMIN O OR N,  UNDER  8 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90467","description":"IMMUNE ADMIN O OR N,  UNDER  8 YRS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE GLOBULIN HUMAN SUBQ INFUSION 100 MG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90284","description":"IMMUNE GLOBULIN HUMAN SUBQ INFUSION 100 MG EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE GLOBULIN IG HUMAN IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90281","description":"IMMUNE GLOBULIN IG HUMAN IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE GLOBULIN IGIV HUMAN IV USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90283","description":"IMMUNE GLOBULIN IGIV HUMAN IV USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNIZATION COUNSELING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1301","description":"IMMUNIZATION COUNSELING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENT STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88347","description":"IMMUNOFLUORESCENT STUDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOHISTO ANTIBOD ADD SLID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88343","description":"IMMUNOHISTO ANTIBOD ADD SLID","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOHISTOCHEMICAL STAINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0478","description":"IMMUNOHISTOCHEMICAL STAINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOSUPPRESSIVE DRUG NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7599","description":"IMMUNOSUPPRESSIVE DRUG NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOTHERAPY ADMN WITH ELECTROPORATION IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0732T","description":"IMMUNOTHERAPY ADMN WITH ELECTROPORATION IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL ABUT DENTUR CMPL EDNTULS ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6053","description":"IMPL ABUT DENTUR CMPL EDNTULS ARCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL ABUT DENTUR PART EDNTULS ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6054","description":"IMPL ABUT DENTUR PART EDNTULS ARCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL ABUT DENTUR PART EDNTULS ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6079","description":"IMPL ABUT DENTUR PART EDNTULS ARCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL CARD EVENT RECORDR W/MEM ACTIVATOR and PROGMMER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0616","description":"IMPL CARD EVENT RECORDR W/MEM ACTIVATOR and PROGMMER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL MAGNET CMPNT SEMI-IMPL HEARING DEVC MID EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2230","description":"IMPL MAGNET CMPNT SEMI-IMPL HEARING DEVC MID EAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL PROS DEVC PAYBLE IP WHO DO NOT HAVE IP COV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9899","description":"IMPL PROS DEVC PAYBLE IP WHO DO NOT HAVE IP COV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL SUPP RETAIN - PORCELN FUSD TO TIT  AND  TIT ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6120","description":"IMPL SUPP RETAIN - PORCELN FUSD TO TIT  AND  TIT ALY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL WIRELESS PULM ARTERY PRESS SENSOR DEL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2624","description":"IMPL WIRELESS PULM ARTERY PRESS SENSOR DEL CATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL/ABUT SPTD INT FIX DENTUR EDENT ARCH-MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6119","description":"IMPL/ABUT SPTD INT FIX DENTUR EDENT ARCH-MAX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL/ABUT SPTD INTRM FIX DENTUR EDENT ARCH-MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6118","description":"IMPL/ABUT SPTD INTRM FIX DENTUR EDENT ARCH-MAND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT CORNEAL RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0099T","description":"IMPLANT CORNEAL RING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT MESH OPN HERNIA RPR/DEBRIDEMENT CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49568","description":"IMPLANT MESH OPN HERNIA RPR/DEBRIDEMENT CLOSURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT NEUROELECTRODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61875","description":"IMPLANT NEUROELECTRODES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT NEUROELECTRODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64573","description":"IMPLANT NEUROELECTRODES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8686","description":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8685","description":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT NEUROSTIM 2 ARRAY NON-RECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8688","description":"IMPLANT NEUROSTIM 2 ARRAY NON-RECHARGEABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8687","description":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPP CROWN - PORCELAIN FU NOBLE ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6083","description":"IMPLANT SUPP CROWN - PORCELAIN FU NOBLE ALLOYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPP CRWN - PORCELAIN FU PREDOM BASE ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6082","description":"IMPLANT SUPP CRWN - PORCELAIN FU PREDOM BASE ALY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPP RETAIN METAL FPD - PREDOM BASE AL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6121","description":"IMPLANT SUPP RETAIN METAL FPD - PREDOM BASE AL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPP RETAIN METAL FPD - TIT  AND  TIT ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6123","description":"IMPLANT SUPP RETAIN METAL FPD - TIT  AND  TIT ALY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPP RETAINER FOR METAL FPD - NOBLE AL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6122","description":"IMPLANT SUPP RETAINER FOR METAL FPD - NOBLE AL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPP RETN - PORC FU TO PDMT BASE ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6098","description":"IMPLANT SUPP RETN - PORC FU TO PDMT BASE ALLOYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPP RTNR FOR FPD - PORCELAIN FU NBL ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6099","description":"IMPLANT SUPP RTNR FOR FPD - PORCELAIN FU NBL ALY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPPORTED CROWN - NOBLE ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6087","description":"IMPLANT SUPPORTED CROWN - NOBLE ALLOYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPPORTED CROWN - PORCELN FU TI  AND  TI ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6084","description":"IMPLANT SUPPORTED CROWN - PORCELN FU TI  AND  TI ALY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPPORTED CROWN - PREDOMINANTLY BASE ALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6086","description":"IMPLANT SUPPORTED CROWN - PREDOMINANTLY BASE ALY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT SUPPORTED CROWN - TI  AND  TI ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6088","description":"IMPLANT SUPPORTED CROWN - TI  AND  TI ALLOYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANT WIRELESS PRESS SENSOR STUDY ANEURYSM SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93982","description":"IMPLANT WIRELESS PRESS SENSOR STUDY ANEURYSM SAC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE ACCESS CATHETER EXTERNAL ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4300","description":"IMPLANTABLE ACCESS CATHETER EXTERNAL ACCESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8680","description":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE RADIATION DOSIMETER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4650","description":"IMPLANTABLE RADIATION DOSIMETER EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE/INSERTABLE DEVICE NOT OTRW CLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1889","description":"IMPLANTABLE/INSERTABLE DEVICE NOT OTRW CLASS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION OF AUDITORY BRAIN STEM IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2235","description":"IMPLANTATION OF AUDITORY BRAIN STEM IMPLANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION PT-ACTIVATED CARDIAC EVENT RECORDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33282","description":"IMPLANTATION PT-ACTIVATED CARDIAC EVENT RECORDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTED PLEURAL CATHETER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7042","description":"IMPLANTED PLEURAL CATHETER EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLJ OSSEOINTEGRATED TEMPORAL BONE W/O MASTOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69715","description":"IMPLJ OSSEOINTEGRATED TEMPORAL BONE W/O MASTOID","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLNT ABUT DENTUR CMPL EDENT ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6078","description":"IMPLNT ABUT DENTUR CMPL EDENT ARCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLT SUBQ DEFIB INTEROGAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0327T","description":"IMPLT SUBQ DEFIB INTEROGAT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLT SUBQ DEFIB SYS DEV EVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0328T","description":"IMPLT SUBQ DEFIB SYS DEV EVL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ ANT SGM IO NBIODEGRADABLE RX ELUTING SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0660T","description":"IMPLTJ ANT SGM IO NBIODEGRADABLE RX ELUTING SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ NONBIOL/SYNTH IMPLT FASC RNFCMT ABDL WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0437T","description":"IMPLTJ NONBIOL/SYNTH IMPLT FASC RNFCMT ABDL WALL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ PULM VLV EVASC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0262T","description":"IMPLTJ PULM VLV EVASC APPR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ TOT RPLCMT HRT SYS W RCP CARDIECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0051T","description":"IMPLTJ TOT RPLCMT HRT SYS W RCP CARDIECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ VENTR ASSIST DEV XTRCORP PRQ T-SEPTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0048T","description":"IMPLTJ VENTR ASSIST DEV XTRCORP PRQ T-SEPTAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION FACIAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21088","description":"IMPRESSION  AND  PREPARATION FACIAL PROSTHESIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION CASTING FOOT PERFORMED PRACTITIONER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0395","description":"IMPRESSION CASTING FOOT PERFORMED PRACTITIONER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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/ USING HOSPICE DURING MEASUREMENT PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2153","description":"IN HOSPICE/ USING HOSPICE DURING MEASUREMENT PER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN VITRO FERTILIZATION;","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4011","description":"IN VITRO FERTILIZATION;","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN-LINE CART CTG DIG ENZYME ENTERAL FEEDING EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B4105","description":"IN-LINE CART CTG DIG ENZYME ENTERAL FEEDING EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN-LINE CARTRIDGE CONTAINING DIGEST ENZYME EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9994","description":"IN-LINE CARTRIDGE CONTAINING DIGEST ENZYME EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INC IMPLTJ NSTIM ELTRDS AUTONOMIC NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64577","description":"INC IMPLTJ NSTIM ELTRDS AUTONOMIC NRV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISE SKULL FOR SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61440","description":"INCISE SKULL FOR SURGERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISE SKULL FOR SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61470","description":"INCISE SKULL FOR SURGERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISE SKULL FOR SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61490","description":"INCISE SKULL FOR SURGERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION OF ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20000","description":"INCISION OF ABSCESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION OF PELVIS NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64761","description":"INCISION OF PELVIS NERVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION OF VAGUS NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64752","description":"INCISION OF VAGUS NERVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCOMPL NO DOC PT CURR MED ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8429","description":"INCOMPL NO DOC PT CURR MED ASSESSED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONT PROD PROTVE UNDPAD REUSABLE BED SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4537","description":"INCONT PROD PROTVE UNDPAD REUSABLE BED SIZE EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONT PROD PROTVE UNDPAD REUSABLE CHAIR SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4540","description":"INCONT PROD PROTVE UNDPAD REUSABLE CHAIR SIZE EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONT PROD PROTVE UNDWEAR/PULLON REUSBL SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4536","description":"INCONT PROD PROTVE UNDWEAR/PULLON REUSBL SIZE EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE GARMENT ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4520","description":"INCONTINENCE GARMENT ANY TYPE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE PRODUCT DIAPER/BRF REUSABLE SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4539","description":"INCONTINENCE PRODUCT DIAPER/BRF REUSABLE SIZE EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE PRODUCT DISPBL UNDPAD SMALL SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4542","description":"INCONTINENCE PRODUCT DISPBL UNDPAD SMALL SIZE EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE PRODUCT DISPOSABLE PENILE WRAP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4545","description":"INCONTINENCE PRODUCT DISPOSABLE PENILE WRAP EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE PRODUCT DISPOSABLE UNDPAD LARGE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4541","description":"INCONTINENCE PRODUCT DISPOSABLE UNDPAD LARGE EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE SUPPLY RECTAL INSERT ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4337","description":"INCONTINENCE SUPPLY RECTAL INSERT ANY TYPE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCPL CYCLE TX CANCELED PRIOR TO STIM CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4017","description":"INCPL CYCLE TX CANCELED PRIOR TO STIM CASE RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IND D PHQ-SCR OVER 9 DC 12M DNMNTR ID PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9572","description":"IND D PHQ-SCR OVER 9 DC 12M DNMNTR ID PR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IND FLL LST 2 PRSC AP MED AND PDC 0.8 OR GRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9369","description":"IND FLL LST 2 PRSC AP MED AND PDC 0.8 OR GRT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IND NOT F 2 PRS AP MED NO PDC 0.8 OR GRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9370","description":"IND NOT F 2 PRS AP MED NO PDC 0.8 OR GRT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IND PSYCTX IA INPT PRTL HOS RESDNT 20-30 MIN E M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90824","description":"IND PSYCTX IA INPT PRTL HOS RESDNT 20-30 MIN E M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IND PSYCTX IA INPT PRTL HOS RESDNT 45-50 MIN E M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90827","description":"IND PSYCTX IA INPT PRTL HOS RESDNT 45-50 MIN E M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IND PSYCTX IA INPT PRTL HOS RESDNT 75-80 MIN E M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90829","description":"IND PSYCTX IA INPT PRTL HOS RESDNT 75-80 MIN E M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IND PSYCTX INPT PRTL HOSP RES 20-30 MIN MED E M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90817","description":"IND PSYCTX INPT PRTL HOSP RES 20-30 MIN MED E M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IND PSYCTX INPT PRTL HOSP RES 45-50 MIN MED E M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90819","description":"IND PSYCTX INPT PRTL HOSP RES 45-50 MIN MED E M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IND PSYCTX INPT PRTL HOSP RES 75-80 MIN MED E M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90822","description":"IND PSYCTX INPT PRTL HOSP RES 75-80 MIN MED E M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDEXING OT USING DYN ROB ASST/DYN NAVIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7939","description":"INDEXING OT USING DYN ROB ASST/DYN NAVIGATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIRECT IMMUNOFLUORESCENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0483","description":"INDIRECT IMMUNOFLUORESCENCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9571","description":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9570","description":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9507","description":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9542","description":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9572","description":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 PENTETREOTIDE DX PER MILLICURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9565","description":"INDIUM IN-111 PENTETREOTIDE DX PER MILLICURIE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4642","description":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PHYS SUPVJ HOME/DOM/R-HOME MO 15-29 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99339","description":"INDIV PHYS SUPVJ HOME/DOM/R-HOME MO 15-29 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PHYS SUPVJ HOME/DOM/R-HOME MO 30 MIN OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99340","description":"INDIV PHYS SUPVJ HOME/DOM/R-HOME MO 30 MIN OR GT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90875","description":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90876","description":"INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCTX IA INPT PRTL HOSP RESDNTL 20-30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90823","description":"INDIV PSYCTX IA INPT PRTL HOSP RESDNTL 20-30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCTX IA INPT PRTL HOSP RESDNTL 45-50 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90826","description":"INDIV PSYCTX IA INPT PRTL HOSP RESDNTL 45-50 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCTX IA INPT PRTL HOSP RESDNTL 75-80 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90828","description":"INDIV PSYCTX IA INPT PRTL HOSP RESDNTL 75-80 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCTX INPT PRTL HOSP RESDNTL 20-30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90816","description":"INDIV PSYCTX INPT PRTL HOSP RESDNTL 20-30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCTX INPT PRTL HOSP RESDNTL 45-50 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90818","description":"INDIV PSYCTX INPT PRTL HOSP RESDNTL 45-50 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCTX INPT PRTL HOSP RESDNTL 75-80 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90821","description":"INDIV PSYCTX INPT PRTL HOSP RESDNTL 75-80 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCTX INTERACT OFF OP 20-30 MIN MED E M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90811","description":"INDIV PSYCTX INTERACT OFF OP 20-30 MIN MED E M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCTX INTERACT OFF OP 45-50 MIN MED E M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90813","description":"INDIV PSYCTX INTERACT OFF OP 45-50 MIN MED E M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCTX INTERACT OFF OP 75-80 MIN MED E M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90815","description":"INDIV PSYCTX INTERACT OFF OP 75-80 MIN MED E M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCTX INTERACTIVE OFFICE OUTPT 20-30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90810","description":"INDIV PSYCTX INTERACTIVE OFFICE OUTPT 20-30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCTX INTERACTIVE OFFICE OUTPT 45-50 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90812","description":"INDIV PSYCTX INTERACTIVE OFFICE OUTPT 45-50 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCTX INTERACTIVE OFFICE OUTPT 75 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90814","description":"INDIV PSYCTX INTERACTIVE OFFICE OUTPT 75 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCTX OFFICE OUTPATIENT 20-30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90804","description":"INDIV PSYCTX OFFICE OUTPATIENT 20-30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCTX OFFICE OUTPATIENT 45-50 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90806","description":"INDIV PSYCTX OFFICE OUTPATIENT 45-50 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCTX OFFICE OUTPATIENT 75-80 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90808","description":"INDIV PSYCTX OFFICE OUTPATIENT 75-80 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCTX OFFICE OUTPT 20-30 MIN W MED E M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90805","description":"INDIV PSYCTX OFFICE OUTPT 20-30 MIN W MED E M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCTX OFFICE OUTPT 45-50 MIN W MED E M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90807","description":"INDIV PSYCTX OFFICE OUTPT 45-50 MIN W MED E M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIV PSYCTX OFFICE OUTPT 75-80 MIN W MED E M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90809","description":"INDIV PSYCTX OFFICE OUTPT 75-80 MIN W MED E M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION 17 TO 24 WEEKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2260","description":"INDUCED ABORTION 17 TO 24 WEEKS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION 25 TO 28 WEEKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2265","description":"INDUCED ABORTION 25 TO 28 WEEKS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION 29 TO 31 WEEKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2266","description":"INDUCED ABORTION 29 TO 31 WEEKS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION 32 WEEKS OR GREATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2267","description":"INDUCED ABORTION 32 WEEKS OR GREATER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL IU DRNG DEVC VLV PT INSR REPLC ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1010","description":"INDWELL IU DRNG DEVC VLV PT INSR REPLC ONLY EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INF AGT DET DNA/RNA;SARS-COV-2 COVID-19 AMP P T","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"U0003","description":"INF AGT DET DNA/RNA;SARS-COV-2 COVID-19 AMP P T","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INF VACC RECOMB HEMAGGLUTININ AG IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2033","description":"INF VACC RECOMB HEMAGGLUTININ AG IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFANT SAFETY CLASSES NON-PHYSICIAN PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9447","description":"INFANT SAFETY CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTION CONTROL SUPPLIES NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8301","description":"INFECTION CONTROL SUPPLIES NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFILTRATION SUSTAINED RELEASE TX DRUG PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9613","description":"INFILTRATION SUSTAINED RELEASE TX DRUG PER QUAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLATE MIDDLE EAR CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69400","description":"INFLATE MIDDLE EAR CANAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLATE MIDDLE EAR CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69401","description":"INFLATE MIDDLE EAR CANAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA A H1N1, ADMIN W PT FAMILY COUNSELING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9141","description":"INFLUENZA A H1N1, ADMIN W PT FAMILY COUNSELING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA A H1N1, ANY ROUTE OF ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9142","description":"INFLUENZA A H1N1, ANY ROUTE OF ADMINISTRATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACCINE PANDEMIC FORMULATION H1N1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90663","description":"INFLUENZA VACCINE PANDEMIC FORMULATION H1N1","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFLUENZA VACCINE PANDEMIC SPLT PRSRV FREE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90666","description":"INFLUENZA VACCINE PANDEMIC SPLT PRSRV FREE IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"7025F","description":"INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFRARED HEATING PAD SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0221","description":"INFRARED HEATING PAD SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SPL NOT USED W/EXT INFUS PUMP CASSETTE/BAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4223","description":"INFUS SPL NOT USED W/EXT INFUS PUMP CASSETTE/BAG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS TX USING OTH THAN CHEMOTHERAPEUTC RX VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0081","description":"INFUS TX USING OTH THAN CHEMOTHERAPEUTC RX VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  250 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9048","description":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  250 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  50 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9043","description":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5 PCT  50 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PUMP NON-PROGRAMMABLE PERMANENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1891","description":"INFUSION PUMP NON-PROGRAMMABLE PERMANENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PUMP NON-PROGRAMMABLE TEMPORARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2626","description":"INFUSION PUMP NON-PROGRAMMABLE TEMPORARY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION PUMP PROGRAMMABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1772","description":"INFUSION PUMP PROGRAMMABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4231","description":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGESTION CHALLENGE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95075","description":"INGESTION CHALLENGE TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHLJ BRNCL CHALLENGE TSTG W/AGS/GASES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95071","description":"INHLJ BRNCL CHALLENGE TSTG W/AGS/GASES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT  AND  MNTR CDVR DON LNG ORGN PRFUJ SYS 1ST 2 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0495T","description":"INIT  AND  MNTR CDVR DON LNG ORGN PRFUJ SYS 1ST 2 HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT PREV PE; FCE-FCE NEW BENEFICRY 1ST 6 MO MCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0344","description":"INIT PREV PE; FCE-FCE NEW BENEFICRY 1ST 6 MO MCR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT PS CCM 1ST 70 MIN 1ST CAL MO BEH HC MGR AC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0502","description":"INIT PS CCM 1ST 70 MIN 1ST CAL MO BEH HC MGR AC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT SUBSQ PS CCM EA ADD 30 MN CAL MO BHC MGR AC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0504","description":"INIT SUBSQ PS CCM EA ADD 30 MN CAL MO BHC MGR AC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99251","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 20 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99304","description":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL OBSERVATION CARE/DAY 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99218","description":"INITIAL OBSERVATION CARE/DAY 30 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL OBSERVATION CARE/DAY 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99219","description":"INITIAL OBSERVATION CARE/DAY 50 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL OBSERVATION CARE/DAY 70 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99220","description":"INITIAL OBSERVATION CARE/DAY 70 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PLMT DRUG ELUTING OCULAR INSERT UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0444T","description":"INITIAL PLMT DRUG ELUTING OCULAR INSERT UNI/BI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 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":[216430],"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":"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":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.22,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ADENOSINE THERAPEUTIC USE 6 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0150","description":"INJ ADENOSINE THERAPEUTIC USE 6 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9131","description":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ADRENALINE EPINEPHRINE TO 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0170","description":"INJ ADRENALINE EPINEPHRINE TO 1 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BETAMETHSONE SODIM PHOSHAT-4 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0704","description":"INJ BETAMETHSONE SODIM PHOSHAT-4 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BETHANECHOL CHLORIDE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0520","description":"INJ BETHANECHOL CHLORIDE UP TO 5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BEVACIZUMAB-MALY BIOSIMILAR (ALYMSYS) 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5126","description":"INJ BEVACIZUMAB-MALY BIOSIMILAR (ALYMSYS) 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ C-1 ESTERASE INHIB BERINERT 10U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9269","description":"INJ C-1 ESTERASE INHIB BERINERT 10U","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ C-1 ESTRASE INHIB RUCONEST 10 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9445","description":"INJ C-1 ESTRASE INHIB RUCONEST 10 U","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CHLOROPROCAINE HYDROCHLO CLOROTEKAL PER 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2402","description":"INJ CHLOROPROCAINE HYDROCHLO CLOROTEKAL PER 1MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ COLG CLOSTR HISTOLYTICUM 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9266","description":"INJ COLG CLOSTR HISTOLYTICUM 0.1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ COSYNTROPIN NOT OTHERWISE SPECIFIED 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0833","description":"INJ COSYNTROPIN NOT OTHERWISE SPECIFIED 0.25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DEXAMETH INTRAVITRL IMPL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9256","description":"INJ DEXAMETH INTRAVITRL IMPL 0.1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DOXORUBICIN HCI LIP DOXIL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9002","description":"INJ DOXORUBICIN HCI LIP DOXIL 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DOXORUBICIN HCI LIP DOXIL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2048","description":"INJ DOXORUBICIN HCI LIP DOXIL 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2049","description":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPO 1 MCG ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9972","description":"INJ EPO 1 MCG ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPOETIN ALFA 1000 UNITS ESRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0886","description":"INJ EPOETIN ALFA 1000 UNITS ESRD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EPOETIN BETA 1 MCG NON-ESRD USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9973","description":"INJ EPOETIN BETA 1 MCG NON-ESRD USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ESTRADIOL VALERATE TO 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1390","description":"INJ ESTRADIOL VALERATE TO 20 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ESTRADIOL VALERATE UP 40 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0970","description":"INJ ESTRADIOL VALERATE UP 40 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FA INTRAVITREAL IMPLANT 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9450","description":"INJ FA INTRAVITREAL IMPLANT 0.01 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FAC IX AB FUS PRT IDELVN 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9139","description":"INJ FAC IX AB FUS PRT IDELVN 1 I.U.","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FACTOR VIII AHF XYNTHA PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2023","description":"INJ FACTOR VIII AHF XYNTHA PER IU","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FACTR VIII FC FUSN PROTN PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9975","description":"INJ FACTR VIII FC FUSN PROTN PER IU","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FARICIMAB-SVOA 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9097","description":"INJ FARICIMAB-SVOA 0.1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FERRIC CARBOXYMALTOSE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9441","description":"INJ FERRIC CARBOXYMALTOSE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FERRIC CARBOXYMALTOSE 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9970","description":"INJ FERRIC CARBOXYMALTOSE 1MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FERRIC PYP CIT SOL 0.1 MG IRON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9976","description":"INJ FERRIC PYP CIT SOL 0.1 MG IRON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FILGRASTIM-AYOW BIOSIMILAR RELEUKO 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9096","description":"INJ FILGRASTIM-AYOW BIOSIMILAR RELEUKO 1 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FOSNETUPITANT 235 MG  AND  PALONOSETRON 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9033","description":"INJ FOSNETUPITANT 235 MG  AND  PALONOSETRON 0.25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FVIII FC FUSION PTEN PER I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9136","description":"INJ FVIII FC FUSION PTEN PER I.U.","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GCM SODIUM NOT THR EQUIV TO J1570 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1574","description":"INJ GCM SODIUM NOT THR EQUIV TO J1570 500 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HEXAMINOLEVULINATE HCI 100 MG PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9275","description":"INJ HEXAMINOLEVULINATE HCI 100 MG PER STUDY DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HUMAN FIBRINOGEN CONC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2045","description":"INJ HUMAN FIBRINOGEN CONC 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3472","description":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IDURSULFASE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9232","description":"INJ IDURSULFASE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG IV NONLYOPHILIZED LIQUID 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1567","description":"INJ IG IV NONLYOPHILIZED LIQUID 500 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN BIVIGAM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9130","description":"INJ IMMUNE GLOBULIN BIVIGAM 500 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN IV NON-LYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4097","description":"INJ IMMUNE GLOBULIN IV NON-LYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMPL BULKING SPACER MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9743","description":"INJ IMPL BULKING SPACER MATERIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ ISAVUCONAZONIUM SULFATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9456","description":"INJ ISAVUCONAZONIUM SULFATE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEUPROLIDE ACETATE DEPOT SUSP LUT DEP 7.5MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1954","description":"INJ LEUPROLIDE ACETATE DEPOT SUSP LUT DEP 7.5MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEV NA FRESENIUS KABI NOT EQ TO J0650 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0651","description":"INJ LEV NA FRESENIUS KABI NOT EQ TO J0650 10 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ LEV SODIUM HIKMA NOT EQUIV TO J0650 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0652","description":"INJ LEV SODIUM HIKMA NOT EQUIV TO J0650 10 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ METHOTREXATE NOT THR EQV TO J9260 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9255","description":"INJ METHOTREXATE NOT THR EQV TO J9260 50 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MORPHINE SULFATE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2275","description":"INJ MORPHINE SULFATE PER 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ MS PRES-FREE EPID IT USE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9974","description":"INJ MS PRES-FREE EPID IT USE 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ NANDROLONE DECANOATE TO 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2321","description":"INJ NANDROLONE DECANOATE TO 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ NANDROLONE DECANOATE TO 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2322","description":"INJ NANDROLONE DECANOATE TO 200 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ NONRADIATIVE NONCONTRAST VIZ ADJUNCT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9968","description":"INJ NONRADIATIVE NONCONTRAST VIZ ADJUNCT 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ OMACETAZN MEPESUCCINATE 0.01 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9297","description":"INJ OMACETAZN MEPESUCCINATE 0.01 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PANITUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9235","description":"INJ PANITUMUMAB 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PARAVERTEBRAL C T","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64470","description":"INJ PARAVERTEBRAL C T","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PARAVERTEBRAL C T ADD-ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64472","description":"INJ PARAVERTEBRAL C T ADD-ON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PARAVERTEBRAL L S","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64475","description":"INJ PARAVERTEBRAL L S","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PARAVERTEBRAL L S ADD-ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64476","description":"INJ PARAVERTEBRAL L S ADD-ON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PASIREOTIDE LONG ACTING 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9454","description":"INJ PASIREOTIDE LONG ACTING 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PCN G BENZ AND PCN G PROCAINE TO 1200000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0540","description":"INJ PCN G BENZ AND PCN G PROCAINE TO 1200000 UNITS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PCN G BENZ AND PCN G PROCAINE TO 600000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0530","description":"INJ PCN G BENZ AND PCN G PROCAINE TO 600000 UNITS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PCN G BENZ AND PCN G PROCAINE UP 2400000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0550","description":"INJ PCN G BENZ AND PCN G PROCAINE UP 2400000 UNITS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PCN G BENZ TO 600000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0560","description":"INJ PCN G BENZ TO 600000 UNITS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PCN G BENZATHINE PROCAIN 2500 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0559","description":"INJ PCN G BENZATHINE PROCAIN 2500 U","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PCN G BENZATHINE TO 2400000 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0580","description":"INJ PCN G BENZATHINE TO 2400000 U","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEGYL IFN ALFA-2B 10 MCG 0.5 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0146","description":"INJ PEGYL IFN ALFA-2B 10 MCG 0.5 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEGYLATED INTERFERON ALFA2A 180 MCG PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0145","description":"INJ PEGYLATED INTERFERON ALFA2A 180 MCG PER ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED BLUEPOINT NOT EQUIV J9305 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9322","description":"INJ PEMETREXED BLUEPOINT NOT EQUIV J9305 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PLLA RESTORATIVE IMPL 1 ML FCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0196","description":"INJ PLLA RESTORATIVE IMPL 1 ML FCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RANIBIZUMAB 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9233","description":"INJ RANIBIZUMAB 0.5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RANIBIZUMAB VIA SS RLS IVT I SUSVIMO 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9093","description":"INJ RANIBIZUMAB VIA SS RLS IVT I SUSVIMO 0.1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ SULFUR HEXAFLUORIDE LPD MS P ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9457","description":"INJ SULFUR HEXAFLUORIDE LPD MS P ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ SUTIMLIMAB-JOME 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9094","description":"INJ SUTIMLIMAB-JOME 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TALIMOGEN LAHERPAREPVEC 1 M PFU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9472","description":"INJ TALIMOGEN LAHERPAREPVEC 1 M PFU","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TEBENTAFUSP-TEBN 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9095","description":"INJ TEBENTAFUSP-TEBN 1 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TESTO AND ESTRDIOL CYPIONAT TO 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1060","description":"INJ TESTO AND ESTRDIOL CYPIONAT TO 1 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TESTO CYPIONATE 1 CC 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1080","description":"INJ TESTO CYPIONATE 1 CC 200 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TESTO ENANTHATE AND ESTRDIOL TO 1CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0900","description":"INJ TESTO ENANTHATE AND ESTRDIOL TO 1CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TESTO PROPIONATE TO 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3150","description":"INJ TESTO PROPIONATE TO 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TESTOSTERONE UNDECANOATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9023","description":"INJ TESTOSTERONE UNDECANOATE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TICARCILLIN DISODIUM AND CLAVULANATE K PLUS  3.1 GMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0040","description":"INJ TICARCILLIN DISODIUM AND CLAVULANATE K PLUS  3.1 GMS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TRIAMCINOLONE ACETONIDE PF EXT-REL MS F 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9469","description":"INJ TRIAMCINOLONE ACETONIDE PF EXT-REL MS F 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TRIAMCINOLONE ACT SUPRACHOROIDAL XIPERE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9092","description":"INJ TRIAMCINOLONE ACT SUPRACHOROIDAL XIPERE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VELAGLUCERASE ALFA 100 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9271","description":"INJ VELAGLUCERASE ALFA 100 UNITS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ VWF CMPLX WILATE-100 IU VWF:RCO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9267","description":"INJ VWF CMPLX WILATE-100 IU VWF:RCO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT ARIPIPRAZOLE LAUROXIL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9470","description":"INJECT ARIPIPRAZOLE LAUROXIL 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT FOR CORONARY X-RAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93545","description":"INJECT FOR CORONARY X-RAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT FOSAPREPITANT NOT THERAP EQUIV J1453 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1456","description":"INJECT FOSAPREPITANT NOT THERAP EQUIV J1453 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT HEPARIN SOD NOT THERAP EQUIV J1644/1000 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1643","description":"INJECT HEPARIN SOD NOT THERAP EQUIV J1644/1000 U","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT SPINE CERV THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62310","description":"INJECT SPINE CERV THORACIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT SPINE LUMBAR SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62311","description":"INJECT SPINE LUMBAR SACRAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT SPINE W CATH CRV THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62318","description":"INJECT SPINE W CATH CRV THRC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT SPINE W CATH LMB SCRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62319","description":"INJECT SPINE W CATH LMB SCRL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTABLE ANESTHETIC FOR DIALYSIS PER 10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4737","description":"INJECTABLE ANESTHETIC FOR DIALYSIS PER 10 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTABLE BULKING AGENT URINARY TRACT 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8604","description":"INJECTABLE BULKING AGENT URINARY TRACT 1 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ABARELIX 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0128","description":"INJECTION ABARELIX 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAMINOPHEN NOT OTHERWISE SPEC 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0131","description":"INJECTION ACETAMINOPHEN NOT OTHERWISE SPEC 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ADENOSINE DX USE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0151","description":"INJECTION ADENOSINE DX USE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2046","description":"INJECTION AFLIBERCEPT 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALEMTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9979","description":"INJECTION ALEMTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALEMTUZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9010","description":"INJECTION ALEMTUZUMAB 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALGLUCOSIDASE ALFA (LUMIZYME), 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9277","description":"INJECTION ALGLUCOSIDASE ALFA (LUMIZYME), 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALGLUCOSIDASE ALFA 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9234","description":"INJECTION ALGLUCOSIDASE ALFA 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALGLUCOSIDASE ALFA 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0147","description":"INJECTION ALGLUCOSIDASE ALFA 20 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMISULPRIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9153","description":"INJECTION AMISULPRIDE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMISULPRIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0184","description":"INJECTION AMISULPRIDE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMITRIPTYLINE HCL UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1320","description":"INJECTION AMITRIPTYLINE HCL UP TO 20 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIVANTAMAB 5 MG  and  HYALURONIDASE-LPUJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9062","description":"INJECTION AMIVANTAMAB 5 MG  and  HYALURONIDASE-LPUJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIVANTAMAB-VMJW 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9083","description":"INJECTION AMIVANTAMAB-VMJW 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANESTHETIC AGENT CAROTID SINUS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64508","description":"INJECTION ANESTHETIC AGENT CAROTID SINUS SPX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANESTHETIC AGENT CERVICAL PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64413","description":"INJECTION ANESTHETIC AGENT CERVICAL PLEXUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANESTHETIC AGENT FACIAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64402","description":"INJECTION ANESTHETIC AGENT FACIAL NERVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANESTHETIC AGENT PHRENIC NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64410","description":"INJECTION ANESTHETIC AGENT PHRENIC NERVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANIFROLUMAB-FNIA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9086","description":"INJECTION ANIFROLUMAB-FNIA 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANTITHROMBIN RECOMBINANT 50 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7196","description":"INJECTION ANTITHROMBIN RECOMBINANT 50 I.U.","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APREPITANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9463","description":"INJECTION APREPITANT 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APREPITANT APONVIE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9145","description":"INJECTION APREPITANT APONVIE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0884","description":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN 1 MG NON-ESRD USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0883","description":"INJECTION ARGATROBAN 1 MG NON-ESRD USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARGATROBAN PER 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9121","description":"INJECTION ARGATROBAN PER 5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9152","description":"INJECTION ARIPIPRAZOLE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9035","description":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1942","description":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ARTESUNATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0391","description":"INJECTION ARTESUNATE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATEZOLIZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9483","description":"INJECTION ATEZOLIZUMAB 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ATROPINE SULFATE UP TO 0.3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0460","description":"INJECTION ATROPINE SULFATE UP TO 0.3 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AVELUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9491","description":"INJECTION AVELUMAB 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZTREONAM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0073","description":"INJECTION AZTREONAM 500 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BAMLANIVIMAB-XXXX 700 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0239","description":"INJECTION BAMLANIVIMAB-XXXX 700 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELANTAMAB MAFODONTIN-BLMF 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9069","description":"INJECTION BELANTAMAB MAFODONTIN-BLMF 0.5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELINOSTAT 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9442","description":"INJECTION BELINOSTAT 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9042","description":"INJECTION BENDAMUSTINE HCL 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HCL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9243","description":"INJECTION BENDAMUSTINE HCL 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENRALIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9466","description":"INJECTION BENRALIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9257","description":"INJECTION BEVACIZUMAB 0.25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB-MALY BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9142","description":"INJECTION BEVACIZUMAB-MALY BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEZLOTOXUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9490","description":"INJECTION BEZLOTOXUMAB 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BLINATUMOMAB 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9449","description":"INJECTION BLINATUMOMAB 1 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BORTEZOMIB NOT TE TO J9041 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9051","description":"INJECTION BORTEZOMIB NOT TE TO J9041 0.1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BREXANOLONE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9055","description":"INJECTION BREXANOLONE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BROMPHENIRAMINE MALEATE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0945","description":"INJECTION BROMPHENIRAMINE MALEATE PER 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUMETANIDE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0171","description":"INJECTION BUMETANIDE 0.5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPIVACAINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9144","description":"INJECTION BUPIVACAINE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPIVICAINE HYDROCHLORIDE 30 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0020","description":"INJECTION BUPIVICAINE HYDROCHLORIDE 30 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE ER  GT  7 TO 28 DAYS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0578","description":"INJECTION BUPRENORPHINE ER  GT  7 TO 28 DAYS TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE ER  LT or equal to  TO 7 DAYS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0577","description":"INJECTION BUPRENORPHINE ER  LT or equal to  TO 7 DAYS TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUPRENORPHINE EXTENDED-RELEASE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9154","description":"INJECTION BUPRENORPHINE EXTENDED-RELEASE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C-1 ESTERASE INHIBITOR HAEGARDA 10 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9015","description":"INJECTION C-1 ESTERASE INHIBITOR HAEGARDA 10 U","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION C1 ESTERASE INHIBITOR HUMAN 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9251","description":"INJECTION C1 ESTERASE INHIBITOR HUMAN 10 UNITS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABAZITAXEL NOT TE TO J9043 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9064","description":"INJECTION CABAZITAXEL NOT TE TO J9043 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2 MG/3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9077","description":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2 MG/3 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9118","description":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CANGRELOR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9460","description":"INJECTION CANGRELOR 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CAPLACIZUMAB-YHDP 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9047","description":"INJECTION CAPLACIZUMAB-YHDP 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARBOXYDEXTRAN-CTD SPM IO PER ST D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9697","description":"INJECTION CARBOXYDEXTRAN-CTD SPM IO PER ST D","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CARFILZOMIB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9295","description":"INJECTION CARFILZOMIB 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"C9075","description":"INJECTION CASIMERSEN 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFIDEROCOL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0693","description":"INJECTION CEFIDEROCOL 5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOPERAZONE SODIUM 1 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0021","description":"INJECTION CEFOPERAZONE SODIUM 1 GM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEMIPLIMAB-RWLC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9044","description":"INJECTION CEMIPLIMAB-RWLC 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CERLIPONASE ALFA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9014","description":"INJECTION CERLIPONASE ALFA 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CERTOLIZUMAB PEGOL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9249","description":"INJECTION CERTOLIZUMAB PEGOL 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CETIRIZINE HCL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9057","description":"INJECTION CETIRIZINE HCL 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORDIAZEPOXIDE HCL UP TO 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1990","description":"INJECTION CHLORDIAZEPOXIDE HCL UP TO 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLOROQUINE HCL UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0390","description":"INJECTION CHLOROQUINE HCL UP TO 250 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0077","description":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COAGULATION FACTR XA INACTIVATED 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9041","description":"INJECTION COAGULATION FACTR XA INACTIVATED 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COLCHICINE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0760","description":"INJECTION COLCHICINE PER 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CONIVAPTAN HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9488","description":"INJECTION CONIVAPTAN HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"C9030","description":"INJECTION COPANLISIB 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COSYNTROPIN PER 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0835","description":"INJECTION COSYNTROPIN PER 0.25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CRIZANLIZUMAB-TMCA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9053","description":"INJECTION CRIZANLIZUMAB-TMCA 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE AUROMEDICS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9087","description":"INJECTION CYCLOPHOSPHAMIDE AUROMEDICS 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE FRINDOVYX 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9072","description":"INJECTION CYCLOPHOSPHAMIDE FRINDOVYX 5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOPHOSPHAMIDE NOS 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9075","description":"INJECTION CYCLOPHOSPHAMIDE NOS 5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYTARABINE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9110","description":"INJECTION CYTARABINE 500 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DALBAVANCIN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9443","description":"INJECTION DALBAVANCIN 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARATUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9476","description":"INJECTION DARATUMUMAB 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DELAFLOXACIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9462","description":"INJECTION DELAFLOXACIN 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DENILEUKIN DIFTITOX 300 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9160","description":"INJECTION DENILEUKIN DIFTITOX 300 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEOXYCHOLIC ACID 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0591","description":"INJECTION DEOXYCHOLIC ACID 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXAMETHASONE 9PCT  INTRAOCULAR 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9034","description":"INJECTION DEXAMETHASONE 9PCT  INTRAOCULAR 1 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIAZOXIDE UP TO 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1730","description":"INJECTION DIAZOXIDE UP TO 300 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9170","description":"INJECTION DOCETAXEL 20 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL DOCIVYX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9172","description":"INJECTION DOCETAXEL DOCIVYX 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DONANEMAB-AZBT 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0175","description":"INJECTION DONANEMAB-AZBT 2 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DORIPENEM 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9241","description":"INJECTION DORIPENEM 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOSTARLIMAB GXLY 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9082","description":"INJECTION DOSTARLIMAB GXLY 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DURVALUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9492","description":"INJECTION DURVALUMAB 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DYPHYLLINE UP TO 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1180","description":"INJECTION DYPHYLLINE UP TO 500 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECALLANTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9263","description":"INJECTION ECALLANTIDE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ECULIZUMAB 10MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9236","description":"INJECTION ECULIZUMAB 10MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EDARAVONE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9493","description":"INJECTION EDARAVONE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0600","description":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EFALIZUMAB 125 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0162","description":"INJECTION EFALIZUMAB 125 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELLIOTTS B SOLUTION 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9175","description":"INJECTION ELLIOTTS B SOLUTION 1 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELOSULFASE ALFA 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9022","description":"INJECTION ELOSULFASE ALFA 1MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELOTUZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9477","description":"INJECTION ELOTUZUMAB 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"C9050","description":"INJECTION EMAPALUMAB-LZSG 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EMICIZUMAB-KXWH 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9995","description":"INJECTION EMICIZUMAB-KXWH 0.5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPCORITAMAB-BYSP 0.16 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9155","description":"INJECTION EPCORITAMAB-BYSP 0.16 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPTINEZUMAB-JJMR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9063","description":"INJECTION EPTINEZUMAB-JJMR 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESTRONE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1435","description":"INJECTION ESTRONE PER 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"C9484","description":"INJECTION ETEPLIRSEN 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETIDRONATE DISODIUM PER 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1436","description":"INJECTION ETIDRONATE DISODIUM PER 300 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EVINACUMAB-DGNB 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9079","description":"INJECTION EVINACUMAB-DGNB 5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR IX GLYCOPEGYLATED REBINYN 1 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9468","description":"INJECTION FACTOR IX GLYCOPEGYLATED REBINYN 1 IU","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9138","description":"INJECTION FACTOR VIII 1 I.U.","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII 1 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9140","description":"INJECTION FACTOR VIII 1 I.U.","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FACTOR VIII PEGYLATED-AUCL 1 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9141","description":"INJECTION FACTOR VIII PEGYLATED-AUCL 1 IU","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAMOTIDINE 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1308","description":"INJECTION FAMOTIDINE 0.25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FERUMOXYTOL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9574","description":"INJECTION FERUMOXYTOL 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOLLITROPIN ALFA 75 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0126","description":"INJECTION FOLLITROPIN ALFA 75 IU","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOLLITROPIN BETA 75 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0128","description":"INJECTION FOLLITROPIN BETA 75 IU","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOR AORTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93544","description":"INJECTION FOR AORTOGRAPHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOR HEART X-RAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93542","description":"INJECTION FOR HEART X-RAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOR HEART X-RAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93543","description":"INJECTION FOR HEART X-RAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOR KIDNEY X-RAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50394","description":"INJECTION FOR KIDNEY X-RAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOR LIVER X-RAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47500","description":"INJECTION FOR LIVER X-RAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOR LIVER X-RAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47505","description":"INJECTION FOR LIVER X-RAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOR LUNG ANGIOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93541","description":"INJECTION FOR LUNG ANGIOGRAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSAPREPITANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9242","description":"INJECTION FOSAPREPITANT 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSPHENYTOIN SODIUM 750 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0078","description":"INJECTION FOSPHENYTOIN SODIUM 750 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"C9040","description":"INJECTION FREMANEZUMAB-VFRM 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOFOSVESET TRISODIUM 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9583","description":"INJECTION GADOFOSVESET TRISODIUM 1 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOLINIUM-BASED MR CONTRAST AGENT ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9952","description":"INJECTION GADOLINIUM-BASED MR CONTRAST AGENT ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOXETATE DISODIUM PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9246","description":"INJECTION GADOXETATE DISODIUM PER ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOB IM 10 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1550","description":"INJECTION GAMMA GLOB IM 10 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOB IM 2 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1470","description":"INJECTION GAMMA GLOB IM 2 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOB IM 3 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1480","description":"INJECTION GAMMA GLOB IM 3 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOB IM 4 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1490","description":"INJECTION GAMMA GLOB IM 4 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOB IM 5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1500","description":"INJECTION GAMMA GLOB IM 5 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOB IM 6 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1510","description":"INJECTION GAMMA GLOB IM 6 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOB IM 7 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1520","description":"INJECTION GAMMA GLOB IM 7 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOB IM 8 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1530","description":"INJECTION GAMMA GLOB IM 8 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GAMMA GLOB IM 9 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1540","description":"INJECTION GAMMA GLOB IM 9 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GANIRELIX ACETATE 250 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0132","description":"INJECTION GANIRELIX ACETATE 250 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GATIFLOXACIN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1590","description":"INJECTION GATIFLOXACIN 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMCITABINE HCL INFUGEM 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9199","description":"INJECTION GEMCITABINE HCL INFUGEM 200 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GEMTUZUMAB OZOGAMICIN 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9300","description":"INJECTION GEMTUZUMAB OZOGAMICIN 5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GIVOSIRAN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9056","description":"INJECTION GIVOSIRAN 0.5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLATIRAMER ACETATE 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1595","description":"INJECTION GLATIRAMER ACETATE 20 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLUCARPIDASE 10 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9293","description":"INJECTION GLUCARPIDASE 10 UNITS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GRANISETRON EXTENDED RELEASE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9486","description":"INJECTION GRANISETRON EXTENDED RELEASE 0.1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"C9029","description":"INJECTION GUSELKUMAB 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HISTRELIN ACETATE 10 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1675","description":"INJECTION HISTRELIN ACETATE 10 MICROGRAMS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROCORTISONE ACETATE UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1700","description":"INJECTION HYDROCORTISONE ACETATE UP TO 25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROMORPHONE HYDROCHLORIDE 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0092","description":"INJECTION HYDROMORPHONE HYDROCHLORIDE 250 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXOCOBALAMIN INTRAVENOUS 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3424","description":"INJECTION HYDROXOCOBALAMIN INTRAVENOUS 25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYPROGESTERONE CAPROATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1725","description":"INJECTION HYDROXYPROGESTERONE CAPROATE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYPROGESTERONE CAPROATE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9986","description":"INJECTION HYDROXYPROGESTERONE CAPROATE 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9985","description":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ICATIBANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1744","description":"INJECTION ICATIBANT 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMIGLUCERASE PER UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1785","description":"INJECTION IMIGLUCERASE PER UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9072","description":"INJECTION IMMUNE GLOBULIN 500 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INFLIXIMAB BIOSIMILAR 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5102","description":"INJECTION INFLIXIMAB BIOSIMILAR 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9028","description":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 30 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1826","description":"INJECTION INTERFERON BETA-1A 30 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1A 33 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1825","description":"INJECTION INTERFERON BETA-1A 33 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRINOTECAN LIPOSOME 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9474","description":"INJECTION IRINOTECAN LIPOSOME 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRON DEXTRAN 165 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1751","description":"INJECTION IRON DEXTRAN 165 50 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRON DEXTRAN 267 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1752","description":"INJECTION IRON DEXTRAN 267 50 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRON DEXTRAN 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4098","description":"INJECTION IRON DEXTRAN 50 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IXABEPILONE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9240","description":"INJECTION IXABEPILONE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION KNEE ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27370","description":"INJECTION KNEE ARTHROGRAPHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LACOSAMIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9254","description":"INJECTION LACOSAMIDE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANREOTIDE ACETATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9237","description":"INJECTION LANREOTIDE ACETATE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEFAMULIN XENLETA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9054","description":"INJECTION LEFAMULIN XENLETA 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOLEUCOVORIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9043","description":"INJECTION LEVOLEUCOVORIN 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVORPHANOL TARTRATE UP TO 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1960","description":"INJECTION LEVORPHANOL TARTRATE UP TO 2 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOTHYROXINE SODIUM NOS 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0650","description":"INJECTION LEVOTHYROXINE SODIUM NOS 10 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIDOCAINE HCL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2003","description":"INJECTION LIDOCAINE HCL 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIDOCAINE HCL WITH EPINEPHRINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2004","description":"INJECTION LIDOCAINE HCL WITH EPINEPHRINE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LIP 1 MG DAUNORUBICIN  AND  2.27 MG CY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9024","description":"INJECTION LIP 1 MG DAUNORUBICIN  AND  2.27 MG CY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LONCASTUXIMAB TESIRINE-LPYL 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9084","description":"INJECTION LONCASTUXIMAB TESIRINE-LPYL 0.1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LUMASIRAN 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9074","description":"INJECTION LUMASIRAN 0.5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MECASERMIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2170","description":"INJECTION MECASERMIN 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELOXICAM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9059","description":"INJECTION MELOXICAM 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN FLUFENAMIDE HCL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9080","description":"INJECTION MELPHALAN FLUFENAMIDE HCL 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPERIDINE AND PROMETHAZINE HCL TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2180","description":"INJECTION MEPERIDINE AND PROMETHAZINE HCL TO 50 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPOLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9473","description":"INJECTION MEPOLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLENE BLUE 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9535","description":"INJECTION METHYLENE BLUE 1 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METRONIDAZOLE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0030","description":"INJECTION METRONIDAZOLE 500 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MINOCYCLINE HCL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2265","description":"INJECTION MINOCYCLINE HCL 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MIRVETUXIMAB SORAVTANSINE-GYNX 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9146","description":"INJECTION MIRVETUXIMAB SORAVTANSINE-GYNX 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOGAMULIZUMAB-KPKC 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9038","description":"INJECTION MOGAMULIZUMAB-KPKC 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MORPHINE SULFATE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2271","description":"INJECTION MORPHINE SULFATE 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MORPHINE SULFATE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0093","description":"INJECTION MORPHINE SULFATE 500 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"C9045","description":"INJECTION MOXETUMOMAB PASUDOTOX-TDFK 0.01 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NANDROLONE DECANOATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2320","description":"INJECTION NANDROLONE DECANOATE UP TO 50 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NATALIZUMAB PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4079","description":"INJECTION NATALIZUMAB PER 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NECITUMUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9475","description":"INJECTION NECITUMUMAB 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NESIRITIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2325","description":"INJECTION NESIRITIDE 0.1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NICARDIPINE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2404","description":"INJECTION NICARDIPINE 0.1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9453","description":"INJECTION NIVOLUMAB 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"C9489","description":"INJECTION NUSINERSEN 0.1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OBINUTUZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9021","description":"INJECTION OBINUTUZUMAB 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRELIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9494","description":"INJECTION OCRELIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"C9298","description":"INJECTION OCRIPLASMIN 0.125 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OFATUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9260","description":"INJECTION OFATUMUMAB 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OFATUMUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9302","description":"INJECTION OFATUMUMAB 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OFLOXACIN 400 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0034","description":"INJECTION OFLOXACIN 400 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLANZAPINE 2.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0166","description":"INJECTION OLANZAPINE 2.5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"C9485","description":"INJECTION OLARATUMAB 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OLICERIDINE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9101","description":"INJECTION OLICERIDINE 0.1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OMADACYCLINE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9051","description":"INJECTION OMADACYCLINE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9444","description":"INJECTION ORITAVANCIN 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXYTETRACYCLINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2460","description":"INJECTION OXYTETRACYCLINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PACLITAXEL 30 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9265","description":"INJECTION PACLITAXEL 30 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAFOLACIANINE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9603","description":"INJECTION PAFOLACIANINE 0.1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIFERMIN 50 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2425","description":"INJECTION PALIFERMIN 50 MICROGRAMS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PATISIRAN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9036","description":"INJECTION PATISIRAN 0.1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGCETACOPLAN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9151","description":"INJECTION PEGCETACOPLAN 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM 6 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2505","description":"INJECTION PEGFILGRASTIM 6 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-BMEZ BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9058","description":"INJECTION PEGFILGRASTIM-BMEZ BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"Q2047","description":"INJECTION PEGINESATIDE 0.1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGUNIGALSIDASE ALFA-IWXJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2508","description":"INJECTION PEGUNIGALSIDASE ALFA-IWXJ 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGYLATED INTERFERON ALFA-2B 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0148","description":"INJECTION PEGYLATED INTERFERON ALFA-2B 10 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMBROLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9027","description":"INJECTION PEMBROLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9324","description":"INJECTION PEMETREXED 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"C9451","description":"INJECTION PERAMIVIR 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9955","description":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PERTUZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9292","description":"INJECTION PERTUZUMAB 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENOBARBITAL SODIUM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2561","description":"INJECTION PHENOBARBITAL SODIUM 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENYLEPHRINE AND KETOROLAC 4 ML VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9447","description":"INJECTION PHENYLEPHRINE AND KETOROLAC 4 ML VIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENYLEPHRINE HCL 20 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2371","description":"INJECTION PHENYLEPHRINE HCL 20 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENYLEPHRINE HCL UP TO 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2370","description":"INJECTION PHENYLEPHRINE HCL UP TO 1 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PIPERACILLIN SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0081","description":"INJECTION PIPERACILLIN SODIUM 500 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLASMINOGEN HUMAN-TVMH 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9090","description":"INJECTION PLASMINOGEN HUMAN-TVMH 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLAZOMICIN 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9039","description":"INJECTION PLAZOMICIN 5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PLERIXAFOR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9252","description":"INJECTION PLERIXAFOR 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION POSTERIOR CHAMBER EYE MEDICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0699T","description":"INJECTION POSTERIOR CHAMBER EYE MEDICATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PRALATREXATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9259","description":"INJECTION PRALATREXATE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR SI JNT; ARTHROGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0259","description":"INJECTION PROCEDURE FOR SI JNT; ARTHROGRAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROMAZINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2950","description":"INJECTION PROMAZINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROPOFOL 10MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0144","description":"INJECTION PROPOFOL 10MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTIRELIN PER 250 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2725","description":"INJECTION PROTIRELIN PER 250 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RADIESSE 0.1ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2026","description":"INJECTION RADIESSE 0.1ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RAMUCIRUMAB 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9025","description":"INJECTION RAMUCIRUMAB 5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RAVULIZUMAB-CWVZ 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9052","description":"INJECTION RAVULIZUMAB-CWVZ 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REGADENOSON 0.4 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9244","description":"INJECTION REGADENOSON 0.4 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REMIMAZOLAM 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2249","description":"INJECTION REMIMAZOLAM 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RESLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9481","description":"INJECTION RESLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REZAFUNGIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0349","description":"INJECTION REZAFUNGIN 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RILONACEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2793","description":"INJECTION RILONACEPT 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9037","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2801","description":"INJECTION RISPERIDONE 0.5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9158","description":"INJECTION RISPERIDONE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9310","description":"INJECTION RITUXIMAB 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB AND HYALURONIDASE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9467","description":"INJECTION RITUXIMAB AND HYALURONIDASE 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROLAPITANT 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9464","description":"INJECTION ROLAPITANT 0.5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9265","description":"INJECTION ROMIDEPSIN 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9315","description":"INJECTION ROMIDEPSIN 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN NON-LYOPHILIZED 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9065","description":"INJECTION ROMIDEPSIN NON-LYOPHILIZED 1MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ROMIPLOSTIM 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9245","description":"INJECTION ROMIPLOSTIM 10 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RSV IMMUNE GLOBULIN INTRAVENOUS 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1565","description":"INJECTION RSV IMMUNE GLOBULIN INTRAVENOUS 50 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SACITUZUMAB GOVITECAN-HZIY 2.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9066","description":"INJECTION SACITUZUMAB GOVITECAN-HZIY 2.5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"C9478","description":"INJECTION SEBELIPASE ALFA 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2850","description":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SERMORELIN ACETATE 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0515","description":"INJECTION SERMORELIN ACETATE 1 MICROGRAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SILTUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9455","description":"INJECTION SILTUXIMAB 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9091","description":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SODIUM THIOSULFATE HOPE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0209","description":"INJECTION SODIUM THIOSULFATE HOPE 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SOTALOL HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9482","description":"INJECTION SOTALOL HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TAA PF EXT-RELEASE MS FORMULATION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9993","description":"INJECTION TAA PF EXT-RELEASE MS FORMULATION 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TAFASITAMAB-CXIX 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9070","description":"INJECTION TAFASITAMAB-CXIX 2 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"C9049","description":"INJECTION TAGRAXOFUSP-ERZS 10 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TALIGLUCERASE ALFA 10 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9294","description":"INJECTION TALIGLUCERASE ALFA 10 U","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TBO-FILGRASTIM 5 MIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1446","description":"INJECTION TBO-FILGRASTIM 5 MIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TECLISTAMAB-CQYV, 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9148","description":"INJECTION TECLISTAMAB-CQYV, 0.5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEDIZOLID PHOSPHATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9446","description":"INJECTION TEDIZOLID PHOSPHATE 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TELAVANCIN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9258","description":"INJECTION TELAVANCIN 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMOZOLOMIDE 1MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9253","description":"INJECTION TEMOZOLOMIDE 1MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TENECTEPLASE 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3100","description":"INJECTION TENECTEPLASE 50 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEPLIZUMAB-MZWV, 5 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9149","description":"INJECTION TEPLIZUMAB-MZWV, 5 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEPROTUMUMAB-TRBW 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9061","description":"INJECTION TEPROTUMUMAB-TRBW 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TERIPARATIDE 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3110","description":"INJECTION TERIPARATIDE 10 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTO CYPIONATE TO 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1070","description":"INJECTION TESTO CYPIONATE TO 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTO ENANTHATE TO 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3120","description":"INJECTION TESTO ENANTHATE TO 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTO ENANTHATE TO 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3130","description":"INJECTION TESTO ENANTHATE TO 200 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TESTO SUSP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3140","description":"INJECTION TESTO SUSP TO 50 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TETRACYCLINE UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0120","description":"INJECTION TETRACYCLINE UP TO 250 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOCILIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9264","description":"INJECTION TOCILIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOFERSEN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9157","description":"INJECTION TOFERSEN 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOL 50 MG AND TAZ 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9452","description":"INJECTION TOL 50 MG AND TAZ 25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOLAZOLINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2670","description":"INJECTION TOLAZOLINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRABECTEDIN 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9480","description":"INJECTION TRABECTEDIN 0.1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TREMELIMUMAB-ACTL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9147","description":"INJECTION TREMELIMUMAB-ACTL 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRILACICLIB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9078","description":"INJECTION TRILACICLIB 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIPTORELIN EXTENDED RELEASE 3.75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9016","description":"INJECTION TRIPTORELIN EXTENDED RELEASE 3.75 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3316","description":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION UREA UP TO 40 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3350","description":"INJECTION UREA UP TO 40 G","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION USTEKINUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9261","description":"INJECTION USTEKINUMAB 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VALOCTOCOGENE ROXAPARVOVEC-RVOX PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1412","description":"INJECTION VALOCTOCOGENE ROXAPARVOVEC-RVOX PER ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VEDOLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9026","description":"INJECTION VEDOLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VELMANASE ALFA-TYCV 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0217","description":"INJECTION VELMANASE ALFA-TYCV 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VESTRONIDASE ALFA-VJBK 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3397","description":"INJECTION VESTRONIDASE ALFA-VJBK 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"C9071","description":"INJECTION VILTOLARSEN 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VORETIGENE NEPARVOVEC-RZYL 1 B VCTR G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9032","description":"INJECTION VORETIGENE NEPARVOVEC-RZYL 1 B VCTR G","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VUTRISIRAN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0225","description":"INJECTION VUTRISIRAN 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION VWF COMPLEX HUMAN RCO NOS PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4096","description":"INJECTION VWF COMPLEX HUMAN RCO NOS PER IU","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIV-AFLIBERCEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9296","description":"INJECTION ZIV-AFLIBERCEPT 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZOLEDRONIC ACID NOS 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2051","description":"INJECTION ZOLEDRONIC ACID NOS 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION(S) SPIDER VEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36469","description":"INJECTION(S) SPIDER VEINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, ACETAMINOPHEN, 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9283","description":"INJECTION, ACETAMINOPHEN, 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, AFLIBERCEPT, 2 MG VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9291","description":"INJECTION, AFLIBERCEPT, 2 MG VIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, AVALGLUCOSIDASE ALFA-NGPT 4 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9085","description":"INJECTION, AVALGLUCOSIDASE ALFA-NGPT 4 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, BELATACEPT, 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9286","description":"INJECTION, BELATACEPT, 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, BRENTUXIMAB VEDOTIN, 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9287","description":"INJECTION, BRENTUXIMAB VEDOTIN, 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, CABAZITAXEL, 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9276","description":"INJECTION, CABAZITAXEL, 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, CARDIAC CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93539","description":"INJECTION, CARDIAC CATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, CARDIAC CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93540","description":"INJECTION, CARDIAC CATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, CEFTAROLINE FOSAMIL, 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9282","description":"INJECTION, CEFTAROLINE FOSAMIL, 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, CENTRUROIDES (SCORPION), 1 VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9288","description":"INJECTION, CENTRUROIDES (SCORPION), 1 VIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, DENOSUMAB, 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9272","description":"INJECTION, DENOSUMAB, 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, ERIBULIN MESYLATE, 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9280","description":"INJECTION, ERIBULIN MESYLATE, 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, ERWINIA CHRYSANTHEMI, 1,000 I.U.","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9289","description":"INJECTION, ERWINIA CHRYSANTHEMI, 1,000 I.U.","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"C9279","description":"INJECTION, IBUPROFEN, 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, INCOBOTULINUMTOXIN A, 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9278","description":"INJECTION, INCOBOTULINUMTOXIN A, 1 UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, IPILIMUMAB, 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9284","description":"INJECTION, IPILIMUMAB, 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, PALIPERIDONE PALMITATE,","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9255","description":"INJECTION, PALIPERIDONE PALMITATE,","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION, PEGLOTICASE, 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9281","description":"INJECTION, PEGLOTICASE, 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTIONS SCLEROSANT FOR SPIDER VEINS LIM/TRNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36468","description":"INJECTIONS SCLEROSANT FOR SPIDER VEINS LIM/TRNK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN DARATUMUMAB 10 MG AND HYALURONIDASE-FIHJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9062","description":"INJECTN DARATUMUMAB 10 MG AND HYALURONIDASE-FIHJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN FACTOR VIII PEGYLATED 1 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9137","description":"INJECTN FACTOR VIII PEGYLATED 1 IU","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTN TIGECYCLINE NOT THR EQUIV TO J3243 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3244","description":"INJECTN TIGECYCLINE NOT THR EQUIV TO J3243 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INNOVAMATRIX PD 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2023","description":"INNOVAMATRIX PD 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS CVC THRU CVO VIA INF  and  SUP APRCH INC IMG GD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9780","description":"INS CVC THRU CVO VIA INF  and  SUP APRCH INC IMG GD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS LT ATRL HEMDYN MTR PRSR SENSR LEAD W S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0294T","description":"INS LT ATRL HEMDYN MTR PRSR SENSR LEAD W S AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0448","description":"INS/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSEMINATION OOCYTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89268","description":"INSEMINATION OOCYTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT ABDOM DRAIN, TEMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49420","description":"INSERT ABDOM DRAIN, TEMP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT ANT SGM DRAINAGE DEV W/O RESERVR INT APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0253T","description":"INSERT ANT SGM DRAINAGE DEV W/O RESERVR INT APPR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT BILE DUCT DRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47511","description":"INSERT BILE DUCT DRAIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT CATHETER BILE DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47510","description":"INSERT CATHETER BILE DUCT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT KIDNEY DRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50392","description":"INSERT KIDNEY DRAIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT MAJOR VESSEL GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33332","description":"INSERT MAJOR VESSEL GRAFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT OCULAR TELESCOPE PROSTHESIS W LENS RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9732","description":"INSERT OCULAR TELESCOPE PROSTHESIS W LENS RMVL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT PLEURAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32019","description":"INSERT PLEURAL CATHETER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT URETERAL TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50393","description":"INSERT URETERAL TUBE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION BIOPROSTHETIC VALVE OPEN FEMORAL VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0744T","description":"INSERTION BIOPROSTHETIC VALVE OPEN FEMORAL VEIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION IMPL TO SOFT PALATE; MINIMUM 3 IMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9727","description":"INSERTION IMPL TO SOFT PALATE; MINIMUM 3 IMPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION IMPLANTABLE CONTRACEPTIVE CAPSULES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11975","description":"INSERTION IMPLANTABLE CONTRACEPTIVE CAPSULES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"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":"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":"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":"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":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION NEW/REPLC PERM PCM ATRIAL TV ELECTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7537","description":"INSERTION NEW/REPLC PERM PCM ATRIAL TV ELECTRD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION NEW/REPLC PERM PCM VENT TV ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7538","description":"INSERTION NEW/REPLC PERM PCM VENT TV ELECTRODE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION NEW/REPLC PPM ATRIAL  and  VENT TV ELECTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7539","description":"INSERTION NEW/REPLC PPM ATRIAL  and  VENT TV ELECTRD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION OF CANNULA(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36822","description":"INSERTION OF CANNULA(S)","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION OF CHEST TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32020","description":"INSERTION OF CHEST TUBE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION OF SINUS TARSI IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0335T","description":"INSERTION OF SINUS TARSI IMPLANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION VAGINAL CYLINDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2270","description":"INSERTION VAGINAL CYLINDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION WRLS CAR STIMULATOR LV PACG BTH COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0517T","description":"INSERTION WRLS CAR STIMULATOR LV PACG BTH COMPNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION WRLS CAR STIMULATOR LV PACG COMPL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0515T","description":"INSERTION WRLS CAR STIMULATOR LV PACG COMPL SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION WRLS CAR STIMULATOR LV PACG ELTRD ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0516T","description":"INSERTION WRLS CAR STIMULATOR LV PACG ELTRD ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION/REPLACEMENT COMPLETE IIMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0525T","description":"INSERTION/REPLACEMENT COMPLETE IIMS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION/REPLACEMENT IIMS ELECTRODE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0526T","description":"INSERTION/REPLACEMENT IIMS ELECTRODE ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION/REPLACEMENT IIMS IMPLANTABLE MNTR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0527T","description":"INSERTION/REPLACEMENT IIMS IMPLANTABLE MNTR ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ ANT SEG AQUEOUS DRG DEV W/IO RSVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0474T","description":"INSJ ANT SEG AQUEOUS DRG DEV W/IO RSVR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ ANT SGM DRG DEV TRAB MW W/O RES and CTRC RMVL1 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0671T","description":"INSJ ANT SGM DRG DEV TRAB MW W/O RES and CTRC RMVL1 Plus","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ AQUEOUS DRAIN DEV W/O EO RSVR EACH ADDL DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0450T","description":"INSJ AQUEOUS DRAIN DEV W/O EO RSVR EACH ADDL DEV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ GASTROSTOMY TUBE PERQ W/MAGNETIC GASTROPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0647T","description":"INSJ GASTROSTOMY TUBE PERQ W/MAGNETIC GASTROPEXY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PM FLUOR AND RADIOGRAPY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71090","description":"INSJ PM FLUOR AND RADIOGRAPY RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ RMVL RPLCMT ICAR ISCHM MNTRNG SYS COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0302T","description":"INSJ RMVL RPLCMT ICAR ISCHM MNTRNG SYS COMPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ RMVL RPLCMT ICAR ISCHM MNTRNG SYS DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0304T","description":"INSJ RMVL RPLCMT ICAR ISCHM MNTRNG SYS DEVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ RMVL RPLCMT ICAR ISCHM MNTRNG SYS ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0303T","description":"INSJ RMVL RPLCMT ICAR ISCHM MNTRNG SYS ELTRD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0572T","description":"INSJ SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0408T","description":"INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLC CAR MODULJ SYS VENTR ELECTRODE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0411T","description":"INSJ/RPLC CAR MODULJ SYS VENTR ELECTRODE ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLC CARDIAC MODULJ SYS ATR ELECTRODE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0410T","description":"INSJ/RPLC CARDIAC MODULJ SYS ATR ELECTRODE ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLC CARDIAC MODULJ SYS PLS GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0409T","description":"INSJ/RPLC CARDIAC MODULJ SYS PLS GENERATOR ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLC NSTIM SYSTEM SLEEP APNEA COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0424T","description":"INSJ/RPLC NSTIM SYSTEM SLEEP APNEA COMPLETE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLC NSTIM SYSTEM SLEEP APNEA PLS GENERATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0427T","description":"INSJ/RPLC NSTIM SYSTEM SLEEP APNEA PLS GENERATOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLC NSTIM SYSTEM SLEEP APNEA SENSING LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0425T","description":"INSJ/RPLC NSTIM SYSTEM SLEEP APNEA SENSING LEAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLC NSTIM SYSTEM SLEEP APNEA STIMJ LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0426T","description":"INSJ/RPLC NSTIM SYSTEM SLEEP APNEA STIMJ LEAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0571T","description":"INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT IMPLTBL AORTIC VENTR COMPLETE SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0451T","description":"INSJ/RPLCMT IMPLTBL AORTIC VENTR COMPLETE SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT IMPLTBL AORTIC VENTR MECHANO-ELEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0453T","description":"INSJ/RPLCMT IMPLTBL AORTIC VENTR MECHANO-ELEC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT IMPLTBL AORTIC VENTR SUBQ ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0454T","description":"INSJ/RPLCMT IMPLTBL AORTIC VENTR SUBQ ELECTRODE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT IMPLTBL AORTIC VENTR VASC HEMO SEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0452T","description":"INSJ/RPLCMT IMPLTBL AORTIC VENTR VASC HEMO SEAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERQ ELTRD RA PN INT NSTIM EA ADD RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64597","description":"INSJ/RPLCMT PERQ ELTRD RA PN INT NSTIM EA ADD RA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERQ ELTRD RA PN W/INT NSTIM 1ST RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64596","description":"INSJ/RPLCMT PERQ ELTRD RA PN W/INT NSTIM 1ST RA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERQ ELTRD RA SAC W/INTEGRATED NSTIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0786T","description":"INSJ/RPLCMT PERQ ELTRD RA SAC W/INTEGRATED NSTIM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERQ ELTRD RA SPI W/INTEGRATED NSTIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0784T","description":"INSJ/RPLCMT PERQ ELTRD RA SPI W/INTEGRATED NSTIM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PULSE GENERATOR ONLY ISDSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0680T","description":"INSJ/RPLCMT PULSE GENERATOR ONLY ISDSS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRT 2 CHAMB PACE CARDIOVRT DFIB PULSE GENERATR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0298","description":"INSRT 2 CHAMB PACE CARDIOVRT DFIB PULSE GENERATR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRT REMV  AND  REPL IC ISCHEMIA MON SYS;CMPL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9750","description":"INSRT REMV  AND  REPL IC ISCHEMIA MON SYS;CMPL SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION LEVONORGESTREL-RELEASING INTRAUTERN SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4981","description":"INSRTION LEVONORGESTREL-RELEASING INTRAUTERN SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTILL ANTINEOPLAST PHARM/BIOL AGT RP ANY METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9789","description":"INSTILL ANTINEOPLAST PHARM/BIOL AGT RP ANY METH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTL CIPROFLOXACIN OTIC SUSPN 6 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9479","description":"INSTL CIPROFLOXACIN OTIC SUSPN 6 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ FECAL MICROBIOTA SSP RCT NMA LWR GI TRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0780T","description":"INSTLJ FECAL MICROBIOTA SSP RCT NMA LWR GI TRC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN CARTRIDGE INSULIN DEVC NOT PUMP; 150 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5565","description":"INSULIN CARTRIDGE INSULIN DEVC NOT PUMP; 150 U","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN CARTRIDGE INSULIN DEVC NOT PUMP; 300 U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5566","description":"INSULIN CARTRIDGE INSULIN DEVC NOT PUMP; 300 U","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN DELIV DEVICE DISPOSABLE PEN; 1.5 ML SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5570","description":"INSULIN DELIV DEVICE DISPOSABLE PEN; 1.5 ML SIZE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN DELIV DEVICE DISPOSABLE PEN; 3 ML SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5571","description":"INSULIN DELIV DEVICE DISPOSABLE PEN; 3 ML SIZE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN DELIVERY DEVICE REUSABLE PEN; 1.5 ML SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5560","description":"INSULIN DELIVERY DEVICE REUSABLE PEN; 1.5 ML SZ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN DELIVERY DEVICE REUSABLE PEN; 3 ML SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5561","description":"INSULIN DELIVERY DEVICE REUSABLE PEN; 3 ML SIZE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN INTERMEDIATE ACTING; 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5552","description":"INSULIN INTERMEDIATE ACTING; 5 UNITS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN LONG ACTING; 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5553","description":"INSULIN LONG ACTING; 5 UNITS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN MOST RAPID ONSET; 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5551","description":"INSULIN MOST RAPID ONSET; 5 UNITS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN PUMP INITIATION INSTRUCTION USE OF PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9145","description":"INSULIN PUMP INITIATION INSTRUCTION USE OF PUMP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN RAPID ONSET; 5 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5550","description":"INSULIN RAPID ONSET; 5 UNITS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN SYRINGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8490","description":"INSULIN SYRINGES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INT CAROTID STENOSIS PT 30-99PCT  DOC DIST IC D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8348","description":"INT CAROTID STENOSIS PT 30-99PCT  DOC DIST IC D","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INT CAROTID STENOSIS PT BELOW 30PCT  MSR DIST IC D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8239","description":"INT CAROTID STENOSIS PT BELOW 30PCT  MSR DIST IC D","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRAL LENS SERVICE MISC SERVICES REPORTED SEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0590","description":"INTEGRAL LENS SERVICE MISC SERVICES REPORTED SEP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEGRATED KERATOPROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1818","description":"INTEGRATED KERATOPROSTHESIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEN MXDISCPLIN SRVC CHILD W/CMPLX IMPAIR DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1025","description":"INTEN MXDISCPLIN SRVC CHILD W/CMPLX IMPAIR DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEN MXDISCPLIN SRVC CHILD W/CMPLX IMPAIR Q HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1026","description":"INTEN MXDISCPLIN SRVC CHILD W/CMPLX IMPAIR Q HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEND TO REPORT EPILEPSY MEASURES GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8901","description":"INTEND TO REPORT EPILEPSY MEASURES GROUP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENSIVE OP PSYCHIATRIC SERVICES PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9480","description":"INTENSIVE OP PSYCHIATRIC SERVICES PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9539","description":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTEPR DX IMAG PRACTITNER NOT ASSOC CAP IMAG RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0391","description":"INTEPR DX IMAG PRACTITNER NOT ASSOC CAP IMAG RPT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERACTIVE GROUP PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90857","description":"INTERACTIVE GROUP PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERACTIVE PSYCH DX INTERVIEW EXAM W PLAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90802","description":"INTERACTIVE PSYCH DX INTERVIEW EXAM W PLAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERACTV GRP PSYCHOTX PARTIAL HOSP/OP 45-50 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0411","description":"INTERACTV GRP PSYCHOTX PARTIAL HOSP/OP 45-50 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERBODY CAGE ANT LATERAL/POSTERIOR PRSNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1831","description":"INTERBODY CAGE ANT LATERAL/POSTERIOR PRSNL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERCEPTIVE ORTHODONTIC TX PRIMARY DENTITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8050","description":"INTERCEPTIVE ORTHODONTIC TX PRIMARY DENTITION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERFERENTIAL CURRENT STIMULATOR 2 CHANNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8130","description":"INTERFERENTIAL CURRENT STIMULATOR 2 CHANNEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERFERENTIAL CURRENT STIMULATOR 4 CHANNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8131","description":"INTERFERENTIAL CURRENT STIMULATOR 4 CHANNEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERFYL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4171","description":"INTERFYL 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERIM LABOR FACILITY GLOBAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4005","description":"INTERIM LABOR FACILITY GLOBAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERIM PONTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6254","description":"INTERIM PONTIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERIM RETAINER CROWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6795","description":"INTERIM RETAINER CROWN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 LIMB COMPRESSION DEVICE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0676","description":"INTERMITTENT LIMB COMPRESSION DEVICE NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERNAL BLEACHING - PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9974","description":"INTERNAL BLEACHING - PER TOOTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22841","description":"INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERP ONLY HEART SOUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0070T","description":"INTERP ONLY HEART SOUND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERP REPT HEART SOUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0068T","description":"INTERP REPT HEART SOUND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERPJ/EXPLNAJ RSLTS PSYC/OTH XM and PX/DATA FAMILY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90887","description":"INTERPJ/EXPLNAJ RSLTS PSYC/OTH XM and PX/DATA FAMILY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERRO DEV EVAL NSTIM PLS GEN SYS SLEEP APNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0434T","description":"INTERRO DEV EVAL NSTIM PLS GEN SYS SLEEP APNEA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERRO DEVICE EVALUATION CARDIAC MODULJ SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0418T","description":"INTERRO DEVICE EVALUATION CARDIAC MODULJ SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL WRLS CAR STIMULATOR IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0521T","description":"INTERROG DEV EVAL WRLS CAR STIMULATOR IN PERSON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEVICE EVAL IN PERSON LEADLESS PM SYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0391T","description":"INTERROG DEVICE EVAL IN PERSON LEADLESS PM SYST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG EVAL IMPLT AORTIC VENTR SYS PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0463T","description":"INTERROG EVAL IMPLT AORTIC VENTR SYS PER DAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0576T","description":"INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION DEVICE EVAL IIMS IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0529T","description":"INTERROGATION DEVICE EVAL IIMS IN PERSON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION DEVICE EVALUATION IN PERSON ISDSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0685T","description":"INTERROGATION DEVICE EVALUATION IN PERSON ISDSS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL ICAR ISCHM MNTRNG SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0306T","description":"INTERROGATION EVAL ICAR ISCHM MNTRNG SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERRUPJ IVC SUTR LIG PLCTJ CLIP XTRVASC IV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37620","description":"INTERRUPJ IVC SUTR LIG PLCTJ CLIP XTRVASC IV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSEX SURG FEMALE MALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55980","description":"INTERSEX SURG FEMALE MALE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSEX SURG MALE FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55970","description":"INTERSEX SURG MALE FEMALE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSPINOUS PROCESS DISTRACTION DEVICE IMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1821","description":"INTERSPINOUS PROCESS DISTRACTION DEVICE IMPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINAL ALLOTRANSPLANTATION CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44135","description":"INTESTINAL ALLOTRANSPLANTATION CADAVER DONOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINAL ALLOTRANSPLANTATION LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44136","description":"INTESTINAL ALLOTRANSPLANTATION LIVING DONOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTM MSR BRONCHODIL WHEEZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0243T","description":"INTM MSR BRONCHODIL WHEEZE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRADERMAL CANCER IMMNTX EACH ADDL INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0709T","description":"INTRADERMAL CANCER IMMNTX EACH ADDL INJECTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRADERMAL CANCER IMMNTX PREP  and  1ST INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0708T","description":"INTRADERMAL CANCER IMMNTX PREP  and  1ST INJECTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAGASTRIC HYPOTHERMIA USING GASTRIC FREEZING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0100","description":"INTRAGASTRIC HYPOTHERMIA USING GASTRIC FREEZING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOCULAR RADIATION SRC APPLICATOR PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0190T","description":"INTRAOCULAR RADIATION SRC APPLICATOR PLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP KINETIC BALANCE SENSR KNEE RPLCMT ARTHRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0396T","description":"INTRAOP KINETIC BALANCE SENSR KNEE RPLCMT ARTHRP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP NEUROPHYSIOLOGY TSTG PR HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95920","description":"INTRAOP NEUROPHYSIOLOGY TSTG PR HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP OCT BREAST OR AXILL NODE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0351T","description":"INTRAOP OCT BREAST OR AXILL NODE EACH SPECIMEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP RADIAJ TX DELIVER ELECTRONS SNGL TX SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77425","description":"INTRAOP RADIAJ TX DELIVER ELECTRONS SNGL TX SESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP RADIAJ TX DELIVER XRAY SINGLE TX SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77424","description":"INTRAOP RADIAJ TX DELIVER XRAY SINGLE TX SESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE HIPEC PX EACH ADDL 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96548","description":"INTRAOPERATIVE HIPEC PX EACH ADDL 30 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE HIPEC PX FIRST 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96547","description":"INTRAOPERATIVE HIPEC PX FIRST 60 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE NIR FLUOR LM OF LYM W/ADMIN ICG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9756","description":"INTRAOPERATIVE NIR FLUOR LM OF LYM W/ADMIN ICG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE RADIATION THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8049","description":"INTRAOPERATIVE RADIATION THERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE VISUAL AXIS ID USING PT FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0514T","description":"INTRAOPERATIVE VISUAL AXIS ID USING PT FIXATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL - BITEWING RAD IMG - IMG CAPTURE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0708","description":"INTRAORAL - BITEWING RAD IMG - IMG CAPTURE ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL - COMP SERIES OF RADIOGRAPHIC IMAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0210","description":"INTRAORAL - COMP SERIES OF RADIOGRAPHIC IMAGES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL - OCCLUSAL RAD IMAGE - IMAGE CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0706","description":"INTRAORAL - OCCLUSAL RAD IMAGE - IMAGE CAP ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL - OCCLUSAL RADIOGRAPHIC IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0240","description":"INTRAORAL - OCCLUSAL RADIOGRAPHIC IMAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL - PERIAPICAL EACH ADD RADIOGRAPH IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0230","description":"INTRAORAL - PERIAPICAL EACH ADD RADIOGRAPH IMAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL - PERIAPICAL FIRST RADIOGRAPHIC IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0220","description":"INTRAORAL - PERIAPICAL FIRST RADIOGRAPHIC IMAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL - PERIAPICAL RAD IMG - IMAGE CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0707","description":"INTRAORAL - PERIAPICAL RAD IMG - IMAGE CAP ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL TOMOSYNTHESIS-BITEWING RAD IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0373","description":"INTRAORAL TOMOSYNTHESIS-BITEWING RAD IMAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL TOMOSYNTHESIS-COMP SERIES RAD IMAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0372","description":"INTRAORAL TOMOSYNTHESIS-COMP SERIES RAD IMAGES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL TOMOSYNTHESIS-PERIAPICAL RAD IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0374","description":"INTRAORAL TOMOSYNTHESIS-PERIAPICAL RAD IMAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL TS-BITEWING RAD IMAGE-IMAGE CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0388","description":"INTRAORAL TS-BITEWING RAD IMAGE-IMAGE CAP ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL TS-COMP SE RAD IMAGES-IMAGE CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0387","description":"INTRAORAL TS-COMP SE RAD IMAGES-IMAGE CAP ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL TS-PERIAPICAL RAD IMAGE-IMAGE CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0389","description":"INTRAORAL TS-PERIAPICAL RAD IMAGE-IMAGE CAP ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL-COMP SERIES RAD IMG-IMG CAPTURE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0709","description":"INTRAORAL-COMP SERIES RAD IMG-IMG CAPTURE ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORIFICE BARRIER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3911","description":"INTRAORIFICE BARRIER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0523T","description":"INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAPULM PERCUSSIVE VENT SYSTEM AND REL ACSSORIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0481","description":"INTRAPULM PERCUSSIVE VENT SYSTEM AND REL ACSSORIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVERTEBRAL BODY FRACTURE AUG WITH IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1062","description":"INTRAVERTEBRAL BODY FRACTURE AUG WITH IMPLANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRCPTV ORTHODONTIC TX TRANSITIONAL DENTITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8060","description":"INTRCPTV ORTHODONTIC TX TRANSITIONAL DENTITION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRDUCR/SHEATH GUID INTRACARD EP NOT PEEL-AWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1766","description":"INTRDUCR/SHEATH GUID INTRACARD EP NOT PEEL-AWAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRDUCR/SHEATH INTRCARD EP CURVE NOT PEEL-AWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1893","description":"INTRDUCR/SHEATH INTRCARD EP CURVE NOT PEEL-AWAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRDUCR/SHEATH INTRCARD EP FIX-CURVE PEEL-AWAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1892","description":"INTRDUCR/SHEATH INTRCARD EP FIX-CURVE PEEL-AWAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRDUCR/SHEATH NOT GUID INTRACARD EP NON-LASR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1894","description":"INTRDUCR/SHEATH NOT GUID INTRACARD EP NON-LASR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRDUCR/SHTH OTH THAN GUID OTH THAN IC EEG LASR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2629","description":"INTRDUCR/SHTH OTH THAN GUID OTH THAN IC EEG LASR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO GUIDE PELVIS AND  URETER W DILAT NFROS TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50395","description":"INTRO GUIDE PELVIS AND  URETER W DILAT NFROS TRACT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO NEEDLE INTRACATH RETROGRADE BRACHIAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36120","description":"INTRO NEEDLE INTRACATH RETROGRADE BRACHIAL ART","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION NEEDLE/INTRACATHETER VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36000","description":"INTRODUCTION NEEDLE/INTRACATHETER VEIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM NOT REQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9305","description":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM NOT REQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INVERSION/EVERSION CORRECTION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9285","description":"INVERSION/EVERSION CORRECTION DEVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IO NEAR-INFR FLUOR IMAG MAJ EXTRA-HEP BILE DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9776","description":"IO NEAR-INFR FLUOR IMAG MAJ EXTRA-HEP BILE DUCT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IOBENGUANE I-123 DX PER STUDY DOSE UP TO 10 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9247","description":"IOBENGUANE I-123 DX PER STUDY DOSE UP TO 10 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9582","description":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9584","description":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9509","description":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9532","description":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-125 SODIUM IODIDE SOL TX PER MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9527","description":"IODINE I-125 SODIUM IODIDE SOL TX PER MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 IOBENGUANE 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9590","description":"IODINE I-131 IOBENGUANE 1 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 IOBENGUANE DIAGNOSTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9407","description":"IODINE I-131 IOBENGUANE DIAGNOSTIC 1 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9508","description":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 IOBENGUANE THERAPEUTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9408","description":"IODINE I-131 IOBENGUANE THERAPEUTIC 1 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 SODIUM IODIDE CAPS THERAPEUTIC MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9517","description":"IODINE I-131 SODIUM IODIDE CAPS THERAPEUTIC MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9528","description":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9529","description":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 TOSITUMOMAB DX DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9544","description":"IODINE I-131 TOSITUMOMAB DX DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 TOSITUMOMAB TX DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9545","description":"IODINE I-131 TOSITUMOMAB TX DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7645","description":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPSILATERAL STROKE OR TIA  OVER 120 DAYS PRIOR CEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8837","description":"IPSILATERAL STROKE OR TIA  OVER 120 DAYS PRIOR CEA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPSILATERAL STROKE OR TIA  UNDER 120 DAYS PRIOR CEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8836","description":"IPSILATERAL STROKE OR TIA  UNDER 120 DAYS PRIOR CEA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IQ TSTS SEQL AND INCRL RX BIOLOGIC VNM IMMT RXN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95015","description":"IQ TSTS SEQL AND INCRL RX BIOLOGIC VNM IMMT RXN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRIS PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1839","description":"IRIS PROSTHESIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRADIATION BLOOD PRODUCT EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86945","description":"IRRADIATION BLOOD PRODUCT EACH UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATE FECAL IMPACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91123","description":"IRRIGATE FECAL IMPACTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SOL TX BLADDER CALCULI PER 500 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2004","description":"IRRIGATION SOL TX BLADDER CALCULI PER 500 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SUPPLY; SLEEVE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4397","description":"IRRIGATION SUPPLY; SLEEVE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISLET CELL TISS TRANSPLANT FROM PANC; ALLOGENEIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2102","description":"ISLET CELL TISS TRANSPLANT FROM PANC; ALLOGENEIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOETHARINE HCI INHAL NON-CP CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7648","description":"ISOETHARINE HCI INHAL NON-CP CONC FORM PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOETHARINE HCI INHAL THRU DME UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7650","description":"ISOETHARINE HCI INHAL THRU DME UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOETHARINE HCI NON-COMP UNIT DOSE FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7649","description":"ISOETHARINE HCI NON-COMP UNIT DOSE FORM PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOETHARINE HCL INHAL CP PROD THRU DME PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7647","description":"ISOETHARINE HCL INHAL CP PROD THRU DME PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOPROTERENOL HCI INHAL CP PROD THRU DME PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7657","description":"ISOPROTERENOL HCI INHAL CP PROD THRU DME PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOPROTERENOL HCI INHAL NON-CP CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7658","description":"ISOPROTERENOL HCI INHAL NON-CP CONC FORM PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOPROTERENOL HCI INHAL NON-CP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7659","description":"ISOPROTERENOL HCI INHAL NON-CP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOPROTERENOL HCI INHAL THRU DME U DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7660","description":"ISOPROTERENOL HCI INHAL THRU DME U DOSE PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV CATH CORONARY VESSEL GRAFT SPECTROSCPY EA VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0205T","description":"IV CATH CORONARY VESSEL GRAFT SPECTROSCPY EA VSL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV CHELATION THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0300","description":"IV CHELATION THERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV CONSC SEDAT ANALG -1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9241","description":"IV CONSC SEDAT ANALG -1ST 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV CONSC SEDAT ANALG-EA ADD 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9242","description":"IV CONSC SEDAT ANALG-EA ADD 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INF BAMLANIVIMAB-XXXX INCL INF  and  POST ADM MON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0239","description":"IV INF BAMLANIVIMAB-XXXX INCL INF  and  POST ADM MON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUS TX/DX; INIT PROLNG RQR PORT/IMPL PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8957","description":"IV INFUS TX/DX; INIT PROLNG RQR PORT/IMPL PUMP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV OCT FOR PROC ADDL VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0292T","description":"IV OCT FOR PROC ADDL VESSEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV OCT FOR PROC INIT VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0291T","description":"IV OCT FOR PROC INIT VESSEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 TUBING EXTENSION SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1015","description":"IV TUBING EXTENSION SET","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV US EACH ADD VESSEL ADD-ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37251","description":"IV US EACH ADD VESSEL ADD-ON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV US FIRST VESSEL ADD-ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37250","description":"IV US FIRST VESSEL ADD-ON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IVF PROC CANCELLED AFTER ASPIRATION CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4021","description":"IVF PROC CANCELLED AFTER ASPIRATION CASE RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IVF PROC CANCELLED BEFORE ASPIRATION CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4020","description":"IVF PROC CANCELLED BEFORE ASPIRATION CASE RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Ice cap or collar","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0230","description":"Ice cap or collar","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Initial care, normal newborn","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99431","description":"Initial care, normal newborn","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, Bevacizumab, 0.25mg","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2024","description":"Injection, Bevacizumab, 0.25mg","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JAPANESE ENCEPHALITIS VACCINE INACTIVATED IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90738","description":"JAPANESE ENCEPHALITIS VACCINE INACTIVATED IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JOINT DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1776","description":"JOINT DEVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAF DVC ANY MATERIAL ADJUSTABILITY CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2006","description":"KAF DVC ANY MATERIAL ADJUSTABILITY CUSTOM FAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KERATOMILEUSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65760","description":"KERATOMILEUSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KEROXX (2.5G/CC) 1CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4202","description":"KEROXX (2.5G/CC) 1CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY DIALYSATE DEL SYS KIDNEY MACH PUMP RECIRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1510","description":"KIDNEY DIALYSATE DEL SYS KIDNEY MACH PUMP RECIRC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMAGING MORPHOLOGY TOMOGRAPHIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78710","description":"KIDNEY IMAGING MORPHOLOGY TOMOGRAPHIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KINETICS PLATELET W WO DIFFRNTL ORGAN TIS LOCLZJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78190","description":"KINETICS PLATELET W WO DIFFRNTL ORGAN TIS LOCLZJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KLHL11 ANTB SERUM/CSF CELL BINDING ASSAY QUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0432U","description":"KLHL11 ANTB SERUM/CSF CELL BINDING ASSAY QUAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE DISARTICULTAION, MOLDED SOCKET ENDOSK SY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5311","description":"KNEE DISARTICULTAION, MOLDED SOCKET ENDOSK SY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO DBL UPRT NONMOLD CUFF_LACER-KNEE JNT CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1880","description":"KO DBL UPRT NONMOLD CUFF_LACER-KNEE JNT CSTM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO DBL UPRT THI and CALF LACERS W_KNEE JNT CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1870","description":"KO DBL UPRT THI and CALF LACERS W_KNEE JNT CSTM FAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO DBLE UPRIGHT THIGH  AND  CALF PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0902","description":"KO DBLE UPRIGHT THIGH  AND  CALF PREFAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO ELAST OTH ELAST MATL-CNDYLR PAD PRFAB-FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1815","description":"KO ELAST OTH ELAST MATL-CNDYLR PAD PRFAB-FIT AND ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO ELASTIC KNEE CAP PREFAB INCLUDES FITTING AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1825","description":"KO ELASTIC KNEE CAP PREFAB INCLUDES FITTING AND ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO ELASTIC W STAYS PREFAB INCLUDES FITTING AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1800","description":"KO ELASTIC W STAYS PREFAB INCLUDES FITTING AND ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO MOLD PLSTC W_DBL UPRT KNEE JNT CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1855","description":"KO MOLD PLSTC W_DBL UPRT KNEE JNT CSTM FAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO MOLD POLYCNTRC KNEE JNT PNEUMAT PADS CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1858","description":"KO MOLD POLYCNTRC KNEE JNT PNEUMAT PADS CSTM FAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO SNGL UPRIGHT THIGH  AND  CALF PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0901","description":"KO SNGL UPRIGHT THIGH  AND  CALF PREFAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KRAS MUTATION ANALYSIS TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3713","description":"KRAS MUTATION ANALYSIS TESTING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"L VENTRICLE FILL PRESSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0086T","description":"L VENTRICLE FILL PRESSURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAB ACCSS TRNSEPI CYTL SMP MICRO EX PREP AND WRT RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0486","description":"LAB ACCSS TRNSEPI CYTL SMP MICRO EX PREP AND WRT RPR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAB PROC MICROB SPEC INC CULTURE  AND  SENS STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0414","description":"LAB PROC MICROB SPEC INC CULTURE  AND  SENS STUDIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHOTOMY MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69802","description":"LABYRINTHOTOMY MASTOIDECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTATION CLASSES NON-PHYSICIAN PROVIDER-SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9443","description":"LACTATION CLASSES NON-PHYSICIAN PROVIDER-SESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAETRILE AMYGDALIN VITAMIN B17","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3570","description":"LAETRILE AMYGDALIN VITAMIN B17","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM CORDOTOMY SCTJ 1 SPINOTHALMIC TRACT CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63194","description":"LAM CORDOTOMY SCTJ 1 SPINOTHALMIC TRACT CERVICAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM CORDOTOMY SCTJ 1 SPINOTHALMIC TRACT THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63195","description":"LAM CORDOTOMY SCTJ 1 SPINOTHALMIC TRACT THORACIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACTS CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63196","description":"LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACTS CRV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM CORDOTOMY SCTJ BOTH TRACTS 2 STAGES CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63198","description":"LAM CORDOTOMY SCTJ BOTH TRACTS 2 STAGES CERVICAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM CORDOTOMY SCTJ BOTH TRACTS 2 STAGES THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63199","description":"LAM CORDOTOMY SCTJ BOTH TRACTS 2 STAGES THORACIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM and SCTJ DENTATE LIG W/WO DURAL GRF CRV  GT 2 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63182","description":"LAM and SCTJ DENTATE LIG W/WO DURAL GRF CRV  GT 2 SEG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM and SCTJ DENTATE LIG W/WO DURAL GRF CRV 1/2 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63180","description":"LAM and SCTJ DENTATE LIG W/WO DURAL GRF CRV 1/2 SEG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMELLAS PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4292","description":"LAMELLAS PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMELLAS XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4291","description":"LAMELLAS XT PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINOTOMY DECOMP NERVE ROOT; 1 INTERSPACE LUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9757","description":"LAMINOTOMY DECOMP NERVE ROOT; 1 INTERSPACE LUMB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LANGUAGE SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5363","description":"LANGUAGE SCREENING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAP ABLAT UTERINE FIBROIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0336T","description":"LAP ABLAT UTERINE FIBROIDS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAP ES SPH AUGMENT DEV PLACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0392T","description":"LAP ES SPH AUGMENT DEV PLACE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAP ESOPHAGOMYOTOMY HELLER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2079","description":"LAP ESOPHAGOMYOTOMY HELLER TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAP RF ABLAT UT FIBROIDS IO GD MON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9736","description":"LAP RF ABLAT UT FIBROIDS IO GD MON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAP RPR HRNA XCPT INCAL/INGUN NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49653","description":"LAP RPR HRNA XCPT INCAL/INGUN NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAP SURG ESOPHAGEAL SP AUG W DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9737","description":"LAP SURG ESOPHAGEAL SP AUG W DEVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAP SURG; IMPL MESH OTH PROS INC VENTRL HERN REP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2077","description":"LAP SURG; IMPL MESH OTH PROS INC VENTRL HERN REP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPARO W CHOLANGIO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47561","description":"LAPARO W CHOLANGIO BIOPSY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC IMPLTJ RPLCMT GASTRIC ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0155T","description":"LAPAROSCOPIC IMPLTJ RPLCMT GASTRIC ELECTRODE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC ISLET CELL TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0585T","description":"LAPAROSCOPIC ISLET CELL TRANSPLANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC REMOVAL LEAD PERM ISDSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0679T","description":"LAPAROSCOPIC REMOVAL LEAD PERM ISDSS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY REPAIR INCISIONAL HERNIA REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49654","description":"LAPAROSCOPY REPAIR INCISIONAL HERNIA REDUCIBLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURGICAL; REPAIR UMBILICAL HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2076","description":"LAPAROSCOPY SURGICAL; REPAIR UMBILICAL HERNIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W CHOLANGIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47560","description":"LAPAROSCOPY W CHOLANGIO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROTOMY IMPLTJ RPLCMT GASTRIC ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0157T","description":"LAPAROTOMY IMPLTJ RPLCMT GASTRIC ELECTRODE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPARSCPY SURG; REPAIR INCISIONAL VENTRAL HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2075","description":"LAPARSCPY SURG; REPAIR INCISIONAL VENTRAL HERNIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS IMPLTJ NSTIM ELTRD ARRAY AND PLS GEN VAGUS NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0312T","description":"LAPS IMPLTJ NSTIM ELTRD ARRAY AND PLS GEN VAGUS NRV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS INSJ NEW/RPLCMT LEAD PERM ISDSS 1ST LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0675T","description":"LAPS INSJ NEW/RPLCMT LEAD PERM ISDSS 1ST LEAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS INSJ NEW/RPLCMT LEAD PERM ISDSS EA ADL LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0676T","description":"LAPS INSJ NEW/RPLCMT LEAD PERM ISDSS EA ADL LEAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS INSJ NEW/RPLCMT PERM ISDSS AGMNTJ CAR FUNCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0674T","description":"LAPS INSJ NEW/RPLCMT PERM ISDSS AGMNTJ CAR FUNCJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PNCRTC ISLET CELL TRNSPLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0143T","description":"LAPS PNCRTC ISLET CELL TRNSPLJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS REPAIR HERNIA EXCEPT INCAL/INGUN REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49652","description":"LAPS REPAIR HERNIA EXCEPT INCAL/INGUN REDUCIBLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS REPOS LEAD PERM ISDSS 1ST REPOSITIONED LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0677T","description":"LAPS REPOS LEAD PERM ISDSS 1ST REPOSITIONED LEAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS REPOS LEAD PERM ISDSS EA ADDL REPOS LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0678T","description":"LAPS REPOS LEAD PERM ISDSS EA ADDL REPOS LEAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS REVJ RMVL GASTRIC ELTRD  UNDER  CURVATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0156T","description":"LAPS REVJ RMVL GASTRIC ELTRD  UNDER  CURVATURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS REVJ/REPLCMT NSTIM ELTRD ARRAY VAGUS NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0313T","description":"LAPS REVJ/REPLCMT NSTIM ELTRD ARRAY VAGUS NRV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RMVL NSTIM ELTRD ARRAY  AND  PLS GEN VAGUS NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0314T","description":"LAPS RMVL NSTIM ELTRD ARRAY  AND  PLS GEN VAGUS NRV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RPR INCISIONAL HERNIA NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49655","description":"LAPS RPR INCISIONAL HERNIA NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RPR RECURRENT INCAL HRNA NCRC8/STRANGULATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49657","description":"LAPS RPR RECURRENT INCAL HRNA NCRC8/STRANGULATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RPR RECURRENT INCISIONAL HERNIA REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49656","description":"LAPS RPR RECURRENT INCISIONAL HERNIA REDUCIBLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPT REVJ RMVL GASTRIC ELTRD  UNDER  CURVATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0158T","description":"LAPT REVJ RMVL GASTRIC ELTRD  UNDER  CURVATURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOTOMY THYROTOMY LARYNGOFISSURE DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31320","description":"LARYNGOTOMY THYROTOMY LARYNGOFISSURE DX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGSCP FLX FIBROPT INJ VC TX DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9742","description":"LARYNGSCP FLX FIBROPT INJ VC TX DX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LASER IN SITU KERATOMILEUSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0800","description":"LASER IN SITU KERATOMILEUSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LASER INC FOR PKP LKP DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0289T","description":"LASER INC FOR PKP LKP DONOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LASER-ASSISTED UVULOPALATOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2080","description":"LASER-ASSISTED UVULOPALATOPLASTY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAUNDRY SERVICE EXTERNAL PROFESSIONAL; PER ORDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5175","description":"LAUNDRY SERVICE EXTERNAL PROFESSIONAL; PER ORDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LDCT LUNG CANCER SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8032","description":"LDCT LUNG CANCER SCREENING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LDL APHERES HEPARN-INDUCD XTRACORP LDL PRECIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2120","description":"LDL APHERES HEPARN-INDUCD XTRACORP LDL PRECIP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LDL VALUE  UNDER  100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9271","description":"LDL VALUE  UNDER  100","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LDL VALUE GRT THN EQ 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9272","description":"LDL VALUE GRT THN EQ 100","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LDL-C NOT PERFORMED REASON NOT GIVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8894","description":"LDL-C NOT PERFORMED REASON NOT GIVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LDL-C RSLT NOT PRS NOT W I 12 MO B4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8943","description":"LDL-C RSLT NOT PRS NOT W I 12 MO B4","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LDL-C WAS NOT PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8596","description":"LDL-C WAS NOT PERFORMED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEAD CARDIOVERT-DEFIB ENDOCARDIAL DUAL COIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1895","description":"LEAD CARDIOVERT-DEFIB ENDOCARDIAL DUAL COIL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEAD CARDIOVERT-DEFIB ENDOCARDIAL SINGLE COIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1777","description":"LEAD CARDIOVERT-DEFIB ENDOCARDIAL SINGLE COIL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEAD CARDIOVRT-DFIB NOT ENDOCARDIAL 1/DUL COIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1896","description":"LEAD CARDIOVRT-DFIB NOT ENDOCARDIAL 1/DUL COIL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEAD LEFT VENTRICULAR CORONARY VENOUS SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1900","description":"LEAD LEFT VENTRICULAR CORONARY VENOUS SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEAD NEUROSTIMULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1778","description":"LEAD NEUROSTIMULATOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEAD NEUROSTIMULATOR TEST KIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1897","description":"LEAD NEUROSTIMULATOR TEST KIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEAD PACEMAKER TRANSVENOUS VDD SINGLE PASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1779","description":"LEAD PACEMAKER TRANSVENOUS VDD SINGLE PASS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEAD PACEMAKER/CARDIOVERT-DEFIB COMBINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1899","description":"LEAD PACEMAKER/CARDIOVERT-DEFIB COMBINATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEAD PACEMKR OTH THAN TRNS VDD SINGLE PASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1898","description":"LEAD PACEMKR OTH THAN TRNS VDD SINGLE PASS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LECANEMAB-IRMB FOR INTRAVENOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0174","description":"LECANEMAB-IRMB FOR INTRAVENOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFORT I  MAXILLA TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7946","description":"LEFORT I  MAXILLA TOTAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFORT II/LEFORT III - W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7949","description":"LEFORT II/LEFORT III - W/BONE GRAFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFORT II/LEFORT III - W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7948","description":"LEFORT II/LEFORT III - W/O BONE GRAFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT HEART CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93510","description":"LEFT HEART CATHETERIZATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT HEART CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93511","description":"LEFT HEART CATHETERIZATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT HEART CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93514","description":"LEFT HEART CATHETERIZATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT HEART CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93524","description":"LEFT HEART CATHETERIZATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM/DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8396","description":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM/DOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 (LVEF) GRT THN EQ 40PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8695","description":"LEFT VENTRICULAR EJECTION FRACTION (LVEF) GRT THN EQ 40PCT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN MSR BY VAS W I 3 MOS PRE  AND  AT 3 MOS P O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9947","description":"LEG PAIN MSR BY VAS W I 3 MOS PRE  AND  AT 3 MOS P O","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG PAIN MSR BY VAS WI 3 MO PREOP  AND  AT 1 YR P O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1053","description":"LEG PAIN MSR BY VAS WI 3 MO PREOP  AND  AT 1 YR P O","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENS INTRAOCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1780","description":"LENS INTRAOCULAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENS INTRAOCULAR TELESCOPIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1840","description":"LENS INTRAOCULAR TELESCOPIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LESION REMOVAL COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45383","description":"LESION REMOVAL COLONOSCOPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE TRANSFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86950","description":"LEUKOCYTE TRANSFUSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUPROLIDE ACETATE IMPLANT 65 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9219","description":"LEUPROLIDE ACETATE IMPLANT 65 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL CP PROD THRU DME CONC 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7607","description":"LEVALBUTEROL INHAL CP PROD THRU DME CONC 0.5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVALBUTEROL INHAL SOL THRU DME UNIT DOSE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7615","description":"LEVALBUTEROL INHAL SOL THRU DME UNIT DOSE 0.5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVAMISOLE HYDROCHLORIDE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0177","description":"LEVAMISOLE HYDROCHLORIDE ORAL 50 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 1 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0380","description":"LEVEL 1 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 2 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0381","description":"LEVEL 2 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 3 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0382","description":"LEVEL 3 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 4 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0383","description":"LEVEL 4 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL 5 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0384","description":"LEVEL 5 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL CNTRACPTV IMPL SYS INCL IMPL AND SPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7306","description":"LEVONORGESTREL CNTRACPTV IMPL SYS INCL IMPL AND SPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL INTRAUTERN CNTRACPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7302","description":"LEVONORGESTREL INTRAUTERN CNTRACPT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL IU CONTRCPTV 13.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0090","description":"LEVONORGESTREL IU CONTRCPTV 13.5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS IU CNTRACPT SYS 19.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9984","description":"LEVONORGESTREL-RLS IU CNTRACPT SYS 19.5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","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":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1398.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1260","description":"LGHTWT WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LGHTWT WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1250","description":"LGHTWT WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRESTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIDOCAINE 70 MG/TETRACAINE 70 MG PER PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9285","description":"LIDOCAINE 70 MG/TETRACAINE 70 MG PER PATCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFESTYL MOD PROG MGMT COR ART DZ; 2ND/3RD QTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0341","description":"LIFESTYL MOD PROG MGMT COR ART DZ; 2ND/3RD QTR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFESTYL MOD PROG MGMT COR ART DZ; 4TH QTR/STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0342","description":"LIFESTYL MOD PROG MGMT COR ART DZ; 4TH QTR/STAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFESTYL MOD PROG MGMT COR ART DZ; LIFESTYL MOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0340","description":"LIFESTYL MOD PROG MGMT COR ART DZ; LIFESTYL MOD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL AND SOLE CORK PER INCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3320","description":"LIFT ELEVATION HEEL AND SOLE CORK PER INCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION HEMORRHOID BUNDLE W US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0249T","description":"LIGATION HEMORRHOID BUNDLE W US","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION PRQ VAS DEFERENS UNI BI SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55450","description":"LIGATION PRQ VAS DEFERENS UNI BI SPX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMA GRAFT USED IN 1ST ISOLATED CABG PXD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4110F","description":"LIMA GRAFT USED IN 1ST ISOLATED CABG PXD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED ORAL EVALUATION - PROBLEM FOCUSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0140","description":"LIMITED ORAL EVALUATION - PROBLEM FOCUSED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED ORTHODONTIC TREATMENT ADULT DENTITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8040","description":"LIMITED ORTHODONTIC TREATMENT ADULT DENTITION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED ORTHODONTIC TREATMENT PRIMARY DENTITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8010","description":"LIMITED ORTHODONTIC TREATMENT PRIMARY DENTITION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LINGUAL FRENECTOMY FRENULECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7962","description":"LINGUAL FRENECTOMY FRENULECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LINR RADIOSRG TX ALL LES MAX 5 SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0251","description":"LINR RADIOSRG TX ALL LES MAX 5 SESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LINR STEREOTC RADIOSURG CMPL 1 SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0173","description":"LINR STEREOTC RADIOSURG CMPL 1 SESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPID PANEL RESULTS DOC  AND  REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8767","description":"LIPID PANEL RESULTS DOC  AND  REVIEWED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPID PROFILE NOT PERF RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8594","description":"LIPID PROFILE NOT PERF RSN NOT GVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPID PROFILE NOT PERF RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8769","description":"LIPID PROFILE NOT PERF RSN NOT GVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPID PROFILE RESULTS DOC  AND  REVIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8593","description":"LIPID PROFILE RESULTS DOC  AND  REVIEW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LISOCABTAGENE MARALEUCEL PER THERAPEUTIC DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9076","description":"LISOCABTAGENE MARALEUCEL PER THERAPEUTIC DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHIUM ION BATT RECHARG NONPROS USE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4601","description":"LITHIUM ION BATT RECHARG NONPROS USE REPLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER DS ALYS 3 BIOMARKERS IA SRM PROGNOSTIC ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0014M","description":"LIVER DS ALYS 3 BIOMARKERS IA SRM PROGNOSTIC ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER IMAGING SPECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78205","description":"LIVER IMAGING SPECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER IMAGING SPECT W VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78206","description":"LIVER IMAGING SPECT W VASCULAR FLOW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOBAR LUNG TRANSPLANTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2060","description":"LOBAR LUNG TRANSPLANTATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCAL ANES-NOT CONJUNCTION W/OP/SURGICAL PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9210","description":"LOCAL ANES-NOT CONJUNCTION W/OP/SURGICAL PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCAL ANESTHESIA CONJUCTION OPERATIVE/SURG PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9215","description":"LOCAL ANESTHESIA CONJUCTION OPERATIVE/SURG PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCALIZE CEREBRAL SEIZURE CABLE RADIO EEG VIDEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95951","description":"LOCALIZE CEREBRAL SEIZURE CABLE RADIO EEG VIDEO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCALIZE CEREBRAL SEIZURE CPTR PORTABLE EEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95953","description":"LOCALIZE CEREBRAL SEIZURE CPTR PORTABLE EEG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCKING RING FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4286","description":"LOCKING RING FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LODGING PER DIEM NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9976","description":"LODGING PER DIEM NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LODGNG COSTS CLINICAL TRIAL PRTCP AND ONE CAREGIVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9994","description":"LODGNG COSTS CLINICAL TRIAL PRTCP AND ONE CAREGIVR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOMUSTINE ORAL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0178","description":"LOMUSTINE ORAL 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG QT SYN GENE DUP DLT VAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81282","description":"LONG QT SYN GENE DUP DLT VAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG QT SYND GENE FULL SEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81280","description":"LONG QT SYND GENE FULL SEQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LONG QT SYND KNOWN FAM VAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81281","description":"LONG QT SYND KNOWN FAM VAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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-CHAIN OMEGA-3 FATTY ACIDS RBC MEMBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0111T","description":"LONG-CHAIN OMEGA-3 FATTY ACIDS RBC MEMBS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW DOSE CT SCAN FOR LUNG CANCER SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0297","description":"LOW DOSE CT SCAN FOR LUNG CANCER SCREENING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW DOSE RATE PROSTATE BRACHYTX SRVC COMPOS RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0458","description":"LOW DOSE RATE PROSTATE BRACHYTX SRVC COMPOS RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW FREQ US DIATHERMY TREATMENT DVC FOR HOME USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1004","description":"LOW FREQ US DIATHERMY TREATMENT DVC FOR HOME USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW FREQUENCY WOUND ULTRASOUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0183T","description":"LOW FREQUENCY WOUND ULTRASOUND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW INTENSITY ESWT CORPUS CAVERNOSUM LOW ENERGY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0864T","description":"LOW INTENSITY ESWT CORPUS CAVERNOSUM LOW ENERGY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW OSM CONTRST MATL 400 OR GT  MG/ML IODINE CONC ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9951","description":"LOW OSM CONTRST MATL 400 OR GT  MG/ML IODINE CONC ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW OSM CONTRST MATL TO 149 MG ML IODINE CONC ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9945","description":"LOW OSM CONTRST MATL TO 149 MG ML IODINE CONC ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 VISION LOWVISION THERAPIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9043","description":"LOW VISION LOWVISION THERAPIST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW VISION REHABILATE TEACHER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9044","description":"LOW VISION REHABILATE TEACHER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW VISION REHABILITATION OCCUPATIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9041","description":"LOW VISION REHABILITATION OCCUPATIONAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW VISION REHABILITATION ORIENTATION MOBILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9042","description":"LOW VISION REHABILITATION ORIENTATION MOBILITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW-LVL LASER THER DYN PHOTONIC  AND  THERMOKIN NRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0552T","description":"LOW-LVL LASER THER DYN PHOTONIC  AND  THERMOKIN NRG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER EXTREMITY ORTHOSES NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2999","description":"LOWER EXTREMITY ORTHOSES NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER EXTREMITY PROSTHESIS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5999","description":"LOWER EXTREMITY PROSTHESIS NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOXAPINE FOR INHALATION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2062","description":"LOXAPINE FOR INHALATION 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOXAPINE INHALATION POWDER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9497","description":"LOXAPINE INHALATION POWDER 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LTD ORTHODONTIC TREATMENT ADOLESCENT DENTITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8030","description":"LTD ORTHODONTIC TREATMENT ADOLESCENT DENTITION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LTD ORTHODONTIC TREATMENT TRANSITIONAL DENTITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8020","description":"LTD ORTHODONTIC TREATMENT TRANSITIONAL DENTITION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0634","description":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST CUSTOM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0632","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P CUSTOM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMBAR SPINE PROCES DISTRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0171T","description":"LUMBAR SPINE PROCES DISTRACT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0629","description":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE CUSTOM FAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG BIOPSY PLUG WITH DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2613","description":"LUNG BIOPSY PLUG WITH DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUTETIUM LU 177 DOTATATE THERAPEUTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9513","description":"LUTETIUM LU 177 DOTATATE THERAPEUTIC 1 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUTETIUM LU 177 DOTATATE THERAPEUTIC 1 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9031","description":"LUTETIUM LU 177 DOTATATE THERAPEUTIC 1 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF  GT or equal to 40 PCT  OR DOC NORMAL/MILD DEPRESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8395","description":"LVEF  GT or equal to 40 PCT  OR DOC NORMAL/MILD DEPRESSED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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  UNDER 40PCT  OR DOC SEV MOD DEPRS LVSF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8738","description":"LVEF  UNDER 40PCT  OR DOC SEV MOD DEPRS LVSF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF GRT THN EQ40PCT  DOC NL MILDLY DPRSD LVSF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8739","description":"LVEF GRT THN EQ40PCT  DOC NL MILDLY DPRSD LVSF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF NOT PERF ASSESS REASON NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8740","description":"LVEF NOT PERF ASSESS REASON NOT GVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF NOT PERFORMED DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8471","description":"LVEF NOT PERFORMED DOCUMENTED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVF TEST NOT PERF PREV 12 MO NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8685","description":"LVF TEST NOT PERF PREV 12 MO NO RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVF TEST NOT PERF PRV 12 MO DOC RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8683","description":"LVF TEST NOT PERF PRV 12 MO DOC RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVF TST DOC PERF PRI D C PREV 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8682","description":"LVF TST DOC PERF PRI D C PREV 12 MO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVR FUNCJ STD HEPATBL AGT SRL IMAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78220","description":"LVR FUNCJ STD HEPATBL AGT SRL IMAGES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LW OSM CONTRST MATL 150-199 MG ML IODINE CONC ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9946","description":"LW OSM CONTRST MATL 150-199 MG ML IODINE CONC ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LW OSM CONTRST MATL 200-249 MG ML IODINE CONC ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9947","description":"LW OSM CONTRST MATL 200-249 MG ML IODINE CONC ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LW OSM CONTRST MATL 250-299 MG ML IODINE CONC ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9948","description":"LW OSM CONTRST MATL 250-299 MG ML IODINE CONC ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LW OSM CONTRST MATL 300-349 MG ML IODINE CONC ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9949","description":"LW OSM CONTRST MATL 300-349 MG ML IODINE CONC ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYME DISEASE VACCINE ADULT IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90665","description":"LYME DISEASE VACCINE ADULT IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MA EC CONTRACEPTIVE, 5 MG 25 MG, INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1056","description":"MA EC CONTRACEPTIVE, 5 MG 25 MG, INJECTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAC PGMT OPTICAL DNS MEAS HFP UNI/BI W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0506T","description":"MAC PGMT OPTICAL DNS MEAS HFP UNI/BI W/I and R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8037","description":"MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETIC RESONANCE IMAGING LOW-FIELD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8042","description":"MAGNETIC RESONANCE IMAGING LOW-FIELD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETIC SOURCE IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8035","description":"MAGNETIC SOURCE IMAGING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETIC TX FOR INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0029T","description":"MAGNETIC TX FOR INCONTINENCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETICALLY CONTROLLED CAPSULE ENDOSCOPY W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0651T","description":"MAGNETICALLY CONTROLLED CAPSULE ENDOSCOPY W/I and R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETOENCEPHALOGRAPHY SPON BRAIN ACTIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95965","description":"MAGNETOENCEPHALOGRAPHY SPON BRAIN ACTIVITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS 1 MODALITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95966","description":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS 1 MODALITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS EACH ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95967","description":"MAGNETOENCEPHALOGRAPY EVOKED FIELDS EACH ADDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAINT CLEAN MAXILLOFACIAL PROSTH OTH THN REQ ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5993","description":"MAINT CLEAN MAXILLOFACIAL PROSTH OTH THN REQ ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAINTENANCE 5 PCT  WL FROM BASELINE WEIGHT MO 7-12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9888","description":"MAINTENANCE 5 PCT  WL FROM BASELINE WEIGHT MO 7-12","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR AMPUTATION/OPEN SURGICAL BYPASS NOT RQR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9639","description":"MAJOR AMPUTATION/OPEN SURGICAL BYPASS NOT RQR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR AMPUTATION/OPEN SURGICAL BYPASS REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9641","description":"MAJOR AMPUTATION/OPEN SURGICAL BYPASS REQUIRED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALAR AND/OR ZYGOMATIC ARCH-CLOSED REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7660","description":"MALAR AND/OR ZYGOMATIC ARCH-CLOSED REDUCTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALAR AND/OR ZYGOMATIC ARCH-OPEN REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7650","description":"MALAR AND/OR ZYGOMATIC ARCH-OPEN REDUCTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALE PATIENT ANEURYSMS MINOR DIAMETER  OVER 6CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8822","description":"MALE PATIENT ANEURYSMS MINOR DIAMETER  OVER 6CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALE VACUUM ERECTION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7900","description":"MALE VACUUM ERECTION SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMAPLASTY AUGMENTATION W/O PROSTHETIC IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19324","description":"MAMMAPLASTY AUGMENTATION W/O PROSTHETIC IMPLANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMOGRAM BOTH BREASTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77056","description":"MAMMOGRAM BOTH BREASTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMOGRAM ONE BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77055","description":"MAMMOGRAM ONE BREAST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMOGRAM SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77057","description":"MAMMOGRAM SCREENING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMOGRAPHIC GID NEEDLE PLACEMENTT BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77032","description":"MAMMOGRAPHIC GID NEEDLE PLACEMENTT BREAST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANAGEMENT OF OVULATION INDUCTION PER CYCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4042","description":"MANAGEMENT OF OVULATION INDUCTION PER CYCLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANDIB ORTHO REPOSITION DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8262","description":"MANDIB ORTHO REPOSITION DEVICE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANDIBLE-CLOSED REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7640","description":"MANDIBLE-CLOSED REDUCTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANDIBLE-OPEN REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7630","description":"MANDIBLE-OPEN REDUCTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANDIBULAR GUIDANCE PROSTHESIS W/O GUIDE FLANGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5935","description":"MANDIBULAR GUIDANCE PROSTHESIS W/O GUIDE FLANGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANDIBULAR GUIDANCE PROSTHESIS WITH GUIDE FLANGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5934","description":"MANDIBULAR GUIDANCE PROSTHESIS WITH GUIDE FLANGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANDIBULAR PARTIAL DENTURE - RESIN BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5212","description":"MANDIBULAR PARTIAL DENTURE - RESIN BASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7830","description":"MANIPULATION UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANNITOL ADMINISTERED THROUGH AN INHALER 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7665","description":"MANNITOL ADMINISTERED THROUGH AN INHALER 5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL TRANSANAL IRR SYS W/O CATHETER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4459","description":"MANUAL TRANSANAL IRR SYS W/O CATHETER ANY TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY MANUAL STANDING SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2230","description":"MANUAL WHEELCHAIR ACCESSORY MANUAL STANDING SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9151","description":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9152","description":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9153","description":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAPLE SYRUP UR DS MNTR BLD CARD SAMP QUAN MEAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0381U","description":"MAPLE SYRUP UR DS MNTR BLD CARD SAMP QUAN MEAS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION OF ODONTOGENIC CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7509","description":"MARSUPIALIZATION OF ODONTOGENIC CYST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASS SPECTROMETRY QUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83788","description":"MASS SPECTROMETRY QUAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19304","description":"MASTECTOMY SUBCUTANEOUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTERS TWO STEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3904","description":"MASTERS TWO STEP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATERIAL FOR VOCAL CORD MEDIALIZATION SYNTHETIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1878","description":"MATERIAL FOR VOCAL CORD MEDIALIZATION SYNTHETIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATERNAL SERUM QUAD MARKER SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3626","description":"MATERNAL SERUM QUAD MARKER SCREEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATERNAL SERUM TRIPLE MARKER SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3625","description":"MATERNAL SERUM TRIPLE MARKER SCREEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4201","description":"MATRION PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRISTEM BURN MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4120","description":"MATRISTEM BURN MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATRISTEM WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4119","description":"MATRISTEM WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLA-CLOSED REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7620","description":"MAXILLA-CLOSED REDUCTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLA-OPEN REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7610","description":"MAXILLA-OPEN REDUCTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLARY PARTIAL DENTURE - RESIN BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5211","description":"MAXILLARY PARTIAL DENTURE - RESIN BASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLOFACIAL MRI CAPTURE AND INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0369","description":"MAXILLOFACIAL MRI CAPTURE AND INTERPRETATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLOFACIAL MRI IMAGE CAPTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0385","description":"MAXILLOFACIAL MRI IMAGE CAPTURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLOFACIAL ULTRASOUND CAPTURE AND INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0370","description":"MAXILLOFACIAL ULTRASOUND CAPTURE AND INTERPRETATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLOFACIAL ULTRASOUND IMAGE CAPTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0386","description":"MAXILLOFACIAL ULTRASOUND IMAGE CAPTURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MCRSCP XM HAIR PLUCK/CLIP FOR CNTS/STRUCT ABNORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96902","description":"MCRSCP XM HAIR PLUCK/CLIP FOR CNTS/STRUCT ABNORM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MDL PRTCP BENEFICIARY REFUSES SRVC COVR UND MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2022","description":"MDL PRTCP BENEFICIARY REFUSES SRVC COVR UND MDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MDPP BNF ACHV AL 5 PCT  WL BW MO 1-12 MDPP SP UND EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9880","description":"MDPP BNF ACHV AL 5 PCT  WL BW MO 1-12 MDPP SP UND EM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MDPP BNF ACHV AL 9 PCT  WL B WT MO 1-24 UND MDPP EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9881","description":"MDPP BNF ACHV AL 9 PCT  WL B WT MO 1-24 UND MDPP EM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MDPP SESS RPT AS LN-I ON CLM FOR PAYABL MDPP EM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9891","description":"MDPP SESS RPT AS LN-I ON CLM FOR PAYABL MDPP EM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MDS PT NO DOC IRON PRIOR ERYTHROPTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8389","description":"MDS PT NO DOC IRON PRIOR ERYTHROPTN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEALS CLIN TRIAL PRTCP and ONE CAREGIVER/COMPANION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9996","description":"MEALS CLIN TRIAL PRTCP and ONE CAREGIVER/COMPANION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEALS FOR IND REC ALCOHOL and /SUBSTANCE ABUSE SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1010","description":"MEALS FOR IND REC ALCOHOL and /SUBSTANCE ABUSE SRVC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEALS PER DIEM NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9977","description":"MEALS PER DIEM NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS OCULAR BLOOD FLOW REPEAT IO PRES SAMP W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0198T","description":"MEAS OCULAR BLOOD FLOW REPEAT IO PRES SAMP W/I and R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASLES VACCINE SC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90705","description":"MEASLES VACCINE SC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASLES-RUBELLA VACCINE SC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90708","description":"MEASLES-RUBELLA VACCINE SC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASURE REMNANT LIPOPROTEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0026T","description":"MEASURE REMNANT LIPOPROTEINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECH ALLERGEN PARTIC BAR/INHL FLTR CRM NASAL TOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1026","description":"MECH ALLERGEN PARTIC BAR/INHL FLTR CRM NASAL TOP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED CONF PHYS W/TEAM HLTH PROF PT CARE; 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0220","description":"MED CONF PHYS W/TEAM HLTH PROF PT CARE; 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED CONF PHYS W/TEAM HLTH PROF PT CARE; 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0221","description":"MED CONF PHYS W/TEAM HLTH PROF PT CARE; 60 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED FOOD NUTR CMPL ORAL 100 PCT  NUTRITNL INTAKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9433","description":"MED FOOD NUTR CMPL ORAL 100 PCT  NUTRITNL INTAKE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED REMINDER SERVICE NON-FACE-TO-FACE; MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5185","description":"MED REMINDER SERVICE NON-FACE-TO-FACE; MONTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED TX MNGMT 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0115T","description":"MED TX MNGMT 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED TX MNGMT ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0117T","description":"MED TX MNGMT ADDL 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED TX MNGMT SUBSQT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0116T","description":"MED TX MNGMT SUBSQT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIASTINOSCOPY INCL BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39400","description":"MEDIASTINOSCOPY INCL BIOPSY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAID CERT COM BEHAVIORAL HLTH CLINIC SRVC PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1040","description":"MEDICAID CERT COM BEHAVIORAL HLTH CLINIC SRVC PD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAID CERT COM BEHAVIORAL HLTH CLINIC SRVC PM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1041","description":"MEDICAID CERT COM BEHAVIORAL HLTH CLINIC SRVC PM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL  and  SURGICAL TREATMENT OPTION REVIEW W/P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4325F","description":"MEDICAL  and  SURGICAL TREATMENT OPTION REVIEW W/P","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL FOODS FOR INBORN ERRORS OF METABOLISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9435","description":"MEDICAL FOODS FOR INBORN ERRORS OF METABOLISM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL HOME PROG COMP CARE COORD INITIAL PLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0280","description":"MEDICAL HOME PROG COMP CARE COORD INITIAL PLAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL HOME PROGRAM COMP CARE COORD MAINT PLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0281","description":"MEDICAL HOME PROGRAM COMP CARE COORD MAINT PLAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RECORDS COPYING FEE ADMINISTRATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9981","description":"MEDICAL RECORDS COPYING FEE ADMINISTRATIVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL RECORDS COPYING FEE PER PAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9982","description":"MEDICAL RECORDS COPYING FEE PER PAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL TESTIMONY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99075","description":"MEDICAL TESTIMONY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION ASST TX MEDICATION NOS; WEEKLY BUNDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2075","description":"MEDICATION ASST TX MEDICATION NOS; WEEKLY BUNDLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION THERAPY EACH ADDITIONAL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99607","description":"MEDICATION THERAPY EACH ADDITIONAL 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION THERAPY INITIAL 15 MIN ESTABLISHED PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99606","description":"MEDICATION THERAPY INITIAL 15 MIN ESTABLISHED PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION THERAPY INITIAL 15 MIN NEW PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99605","description":"MEDICATION THERAPY INITIAL 15 MIN NEW PATIENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION TRAINING AND SUPPORT PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0034","description":"MEDICATION TRAINING AND SUPPORT PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDISKIN PER SQUARE CENTIMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4135","description":"MEDISKIN PER SQUARE CENTIMETER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDROXYPROGESTER FOR CONTRECEPTV, 150 MG, INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1055","description":"MEDROXYPROGESTER FOR CONTRECEPTV, 150 MG, INJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDROXYPROGESTERONE ACETATE, 50 MG, INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1051","description":"MEDROXYPROGESTERONE ACETATE, 50 MG, INJECTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEGESTROL ACETATE ORAL 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0179","description":"MEGESTROL ACETATE ORAL 20 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMB DIFFUSION CAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94725","description":"MEMB DIFFUSION CAP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMBER REIMBURSEMENT - SH900","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"SH900","description":"MEMBER REIMBURSEMENT - SH900","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMBRANE GRAFT OR MEMBRANE WRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4205","description":"MEMBRANE GRAFT OR MEMBRANE WRAP PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMBRANE WRAP-HYDRO TM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4290","description":"MEMBRANE WRAP-HYDRO TM PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMODERM DERMASPAN TRANZGRFT/INTEGUPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4126","description":"MEMODERM DERMASPAN TRANZGRFT/INTEGUPLY PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMORY FUNCT LIMIT CURR STATUS TX EPISODE OUTSET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9168","description":"MEMORY FUNCT LIMIT CURR STATUS TX EPISODE OUTSET","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMORY FUNCT LIMIT DISCHARG STATUS D C FROM TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9170","description":"MEMORY FUNCT LIMIT DISCHARG STATUS D C FROM TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMORY FUNCT LIMIT PROJ GOAL STATUS TX EPISODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9169","description":"MEMORY FUNCT LIMIT PROJ GOAL STATUS TX EPISODE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMORY SCORE AT DISCH HIGHER THAN AT ADMIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8609","description":"MEMORY SCORE AT DISCH HIGHER THAN AT ADMIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEMORY SCORE AT DISCH NOT HIGHER, NO REAS SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8610","description":"MEMORY SCORE AT DISCH NOT HIGHER, NO REAS SPEC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90619","description":"MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENTAL HEALTH ASSESSMENT BY NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0031","description":"MENTAL HEALTH ASSESSMENT BY NON-PHYSICIAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENTAL HEALTH CLUBHOUSE SERVICES PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2031","description":"MENTAL HEALTH CLUBHOUSE SERVICES PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENTAL HEALTH PARTIAL HOSP TX  LT  24 HOURS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0035","description":"MENTAL HEALTH PARTIAL HOSP TX  LT  24 HOURS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MERCAPTOPURINE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0108","description":"MERCAPTOPURINE ORAL 50 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1781","description":"MESH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METAPROTERENOL SULF INHAL NON-CP CONC PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7668","description":"METAPROTERENOL SULF INHAL NON-CP CONC PER 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METAPROTERENOL SULF INHAL NON-CP UNIT DOSE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7669","description":"METAPROTERENOL SULF INHAL NON-CP UNIT DOSE 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METAPROTERENOL SULFATE INHAL CP PROD CONC 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7667","description":"METAPROTERENOL SULFATE INHAL CP PROD CONC 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METAPROTERENOL SULFATE INHAL THRU DME PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7670","description":"METAPROTERENOL SULFATE INHAL THRU DME PER 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHADONE ORAL 5MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0109","description":"METHADONE ORAL 5MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METL-ON-METL TOT HIP RESRFC ACETAB AND FEM CMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2118","description":"METL-ON-METL TOT HIP RESRFC ACETAB AND FEM CMPNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MFN MODEL DRUG ADD-ON AMOUNT PER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1145","description":"MFN MODEL DRUG ADD-ON AMOUNT PER DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT RCP HEMATOP PROGENITOR CELL DONOR  AND ACQUISJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38204","description":"MGMT RCP HEMATOP PROGENITOR CELL DONOR  AND ACQUISJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROCAPILLARY TUBE SEALANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4652","description":"MICROCAPILLARY TUBE SEALANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROPOROUS COLLAGEN IMPLANTABLE SLIT TUBE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9353","description":"MICROPOROUS COLLAGEN IMPLANTABLE SLIT TUBE CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROPOROUS COLLAGEN IMPLANTABLE TUBE PER CM LEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9352","description":"MICROPOROUS COLLAGEN IMPLANTABLE TUBE PER CM LEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROPOROUS COLLAGN TUBE NON-HUMAN ORIG PER CM L","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9350","description":"MICROPOROUS COLLAGN TUBE NON-HUMAN ORIG PER CM L","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROSURGICAL EPIDIDYMAL SPERM ASPIRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4028","description":"MICROSURGICAL EPIDIDYMAL SPERM ASPIRATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIFEPRISTONE ORAL 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0190","description":"MIFEPRISTONE ORAL 200 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIGLUSTAT ORAL 65 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1202","description":"MIGLUSTAT ORAL 65 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIGRATION INHIBITORY FACTOR TEST MIF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86378","description":"MIGRATION INHIBITORY FACTOR TEST MIF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MILD OBSTRUCTIVE SLEEP APNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8848","description":"MILD OBSTRUCTIVE SLEEP APNEA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIN INVAS DIR CAB SURG; 1 ART AND VEN GFT 1 VEN GFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2208","description":"MIN INVAS DIR CAB SURG; 1 ART AND VEN GFT 1 VEN GFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIN INVAS DIR CAB; VEN GFT ONLY 1 COR VEN GFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2207","description":"MIN INVAS DIR CAB; VEN GFT ONLY 1 COR VEN GFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIN INVASV DIR CAB SURG; 2 ART GFT AND 1 VENUS GFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2209","description":"MIN INVASV DIR CAB SURG; 2 ART GFT AND 1 VENUS GFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIN INVASV DIR CAB SURG; ART GFT 1 COR ART GFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2205","description":"MIN INVASV DIR CAB SURG; ART GFT 1 COR ART GFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIN INVASV DIR CAB SURG; ART GFT 2 COR ART GFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2206","description":"MIN INVASV DIR CAB SURG; ART GFT 2 COR ART GFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MINOXIDIL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0139","description":"MINOXIDIL 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRO3D PER CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2025","description":"MIRO3D PER CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIRROR COAT TYPE SOLID GRADENT/ Equal to  LENS MATL-LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2761","description":"MIRROR COAT TYPE SOLID GRADENT/ Equal to  LENS MATL-LENS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISC COMP SPL/ACCESS FOR USE WITH TOT AH SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8698","description":"MISC COMP SPL/ACCESS FOR USE WITH TOT AH SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISC EXT COMP SPL/ACSS FOR ARGUS II RET PROS SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8608","description":"MISC EXT COMP SPL/ACSS FOR ARGUS II RET PROS SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISC SPL/ACSS IMPL VAD NO PAYMENT MEDICARE PRT A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0509","description":"MISC SPL/ACSS IMPL VAD NO PAYMENT MEDICARE PRT A","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISC SUPPLY OR ACCESSORY USE WITH EXTERNAL VAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0507","description":"MISC SUPPLY OR ACCESSORY USE WITH EXTERNAL VAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISC SUPPLY OR ACCESSORY USE WITH IMPLANTED VAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0508","description":"MISC SUPPLY OR ACCESSORY USE WITH IMPLANTED VAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISC TX ITEMS  AND  SPL RETAIL PURCHASE NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1999","description":"MISC TX ITEMS  AND  SPL RETAIL PURCHASE NOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISCELLANEOUS DIALYSIS SUPPLIES NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4913","description":"MISCELLANEOUS DIALYSIS SUPPLIES NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISCELLANEOUS DME SUPPLY OR ACCESSORY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9999","description":"MISCELLANEOUS DME SUPPLY OR ACCESSORY NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISCELLANEOUS SUPPLY ACCESSORY VAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0505","description":"MISCELLANEOUS SUPPLY ACCESSORY VAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISOPROSTOL ORAL 200 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0191","description":"MISOPROSTOL ORAL 200 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISSED APPOINTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9986","description":"MISSED APPOINTMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9290","description":"MITOMYCIN 20 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN 40 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9291","description":"MITOMYCIN 40 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9064","description":"MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLG-COMPLETE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4256","description":"MLG-COMPLETE PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE MRNA SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0158U","description":"MLH1 GENE MRNA SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MM PT NOT DOC RX IV BISPHOSPHONATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8382","description":"MM PT NOT DOC RX IV BISPHOSPHONATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACCESS PED SIZE WC DYNAMIC SEATING FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2295","description":"MNL WC ACCESS PED SIZE WC DYNAMIC SEATING FRAME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHEELCHAIR ACCSS VALVE ANY TYPE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2223","description":"MNL WHEELCHAIR ACCSS VALVE ANY TYPE REPL ONLY EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNTR CARDIAC INC INTRACARDIAC LEAD  and ALL SYS COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1833","description":"MNTR CARDIAC INC INTRACARDIAC LEAD  and ALL SYS COMP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNTR CDVR DON LNG ORGN PRFUJ SYS EA ADDL HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0496T","description":"MNTR CDVR DON LNG ORGN PRFUJ SYS EA ADDL HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNTR INTRAOCULAR PRESS 24HRS OR GT  UNI/BI W/INTERP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0329T","description":"MNTR INTRAOCULAR PRESS 24HRS OR GT  UNI/BI W/INTERP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNTR SEIZURE CMPTR 16CHAN EEG ATND EA 24 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95956","description":"MNTR SEIZURE CMPTR 16CHAN EEG ATND EA 24 HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MO SPH FCN LIM CUR STS TX EPIS AND OUTST AND REP INTRVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8999","description":"MO SPH FCN LIM CUR STS TX EPIS AND OUTST AND REP INTRVL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOB: WALK MOV ARND FCN LIM GOAL REP INTRVL AND D C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8979","description":"MOB: WALK MOV ARND FCN LIM GOAL REP INTRVL AND D C","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOB:WALK AND MOV ARND FUNC LIM D C AT D C TX END REP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8980","description":"MOB:WALK AND MOV ARND FUNC LIM D C AT D C TX END REP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOB:WALK MOV ARND FCN LIM TX OUTSET REP INTRVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8978","description":"MOB:WALK MOV ARND FCN LIM TX OUTSET REP INTRVL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD PEDIATRIC SIZE WC WIDTH ADJUSTMENT PACKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1011","description":"MOD PEDIATRIC SIZE WC WIDTH ADJUSTMENT PACKAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SEDAT PHYS QHP  UNDER 5 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99143","description":"MOD SEDAT PHYS QHP  UNDER 5 YRS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SOLID FOOD SUPPLEMENTS INBORN ERRORS METAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9434","description":"MOD SOLID FOOD SUPPLEMENTS INBORN ERRORS METAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8846","description":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MODIFICATION REMV PROSTH FOLLOW IMPLANT SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5875","description":"MODIFICATION REMV PROSTH FOLLOW IMPLANT SURGERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOISTR EXCHGR DISPBL USE W/INVASV MECH VENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4483","description":"MOISTR EXCHGR DISPBL USE W/INVASV MECH VENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOL DX TEST READER NONRX SA  and  SC USE FDA APRVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1035","description":"MOL DX TEST READER NONRX SA  and  SC USE FDA APRVD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLEC DIAG ISOL XTRJ EA NUCLEIC ACID TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83890","description":"MOLEC DIAG ISOL XTRJ EA NUCLEIC ACID TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLEC DOT SLOT BLOT EA NUCLEIC ACID PREPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83893","description":"MOLEC DOT SLOT BLOT EA NUCLEIC ACID PREPJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLEC DX LYSIS CELLS PRIOR NUCLEIC ACID EXTRTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83907","description":"MOLEC DX LYSIS CELLS PRIOR NUCLEIC ACID EXTRTJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLEC ENZYMATIC DIGESTION EA ENZYME TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83892","description":"MOLEC ENZYMATIC DIGESTION EA ENZYME TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLEC ISOL XTRJ HP NUCLEIC ACID EA TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83891","description":"MOLEC ISOL XTRJ HP NUCLEIC ACID EA TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLEC MUTATION ALLELE SPEC TRANSLATION 1 SGM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83906","description":"MOLEC MUTATION ALLELE SPEC TRANSLATION 1 SGM EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLEC MUTATION ALLELE TRANSCRIPTION 1 SGM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83905","description":"MOLEC MUTATION ALLELE TRANSCRIPTION 1 SGM EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLEC MUTATION ID SEQUENCING 1 SGM EA SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83904","description":"MOLEC MUTATION ID SEQUENCING 1 SGM EA SGM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLEC MUTATION SCANNING PROPERTIES 1 SGM EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83903","description":"MOLEC MUTATION SCANNING PROPERTIES 1 SGM EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLEC NUCLEIC ACID TR EA NUCLEIC ACID PREPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83897","description":"MOLEC NUCLEIC ACID TR EA NUCLEIC ACID PREPJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLEC SEP AND ID HI RESOLU TQ EACH NUCLEIC ACID PREP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83909","description":"MOLEC SEP AND ID HI RESOLU TQ EACH NUCLEIC ACID PREP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLEC SEP GEL ELECTROPHORESIS EACH PREPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83894","description":"MOLEC SEP GEL ELECTROPHORESIS EACH PREPJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR DIAGNOSTICS INTERPRETATION  AND  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83912","description":"MOLECULAR DIAGNOSTICS INTERPRETATION  AND  REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR DIAGNOSTICS REVERSE TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83902","description":"MOLECULAR DIAGNOSTICS REVERSE TRANSCRIPTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR DIAGNOSTICS RNA STABILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83913","description":"MOLECULAR DIAGNOSTICS RNA STABILIZATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR DX AMP TARGET MULTIPLEX 1ST 2 SEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83900","description":"MOLECULAR DX AMP TARGET MULTIPLEX 1ST 2 SEQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR DX AMP TARGET MULTIPLEX EA ADDL SEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83901","description":"MOLECULAR DX AMP TARGET MULTIPLEX EA ADDL SEQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR DX AMPLIFICATION SIGNAL EACH SEQUENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83908","description":"MOLECULAR DX AMPLIFICATION SIGNAL EACH SEQUENCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR DX AMPLIFICATION TARGET EA SEQUENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83898","description":"MOLECULAR DX AMPLIFICATION TARGET EA SEQUENCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR DX NUCLEIC ACID PROBE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83896","description":"MOLECULAR DX NUCLEIC ACID PROBE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR FLUOR IMAGING SUSPICIOUS NEVUS 1ST LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0700T","description":"MOLECULAR FLUOR IMAGING SUSPICIOUS NEVUS 1ST LES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR FLUOR IMAGING SUSPICIOUS NEVUS EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0701T","description":"MOLECULAR FLUOR IMAGING SUSPICIOUS NEVUS EA ADDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR TESTG PH REL PATHOGEN INCL CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0606","description":"MOLECULAR TESTG PH REL PATHOGEN INCL CORONAVIRUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOMETASONE FUROATE SINUS IMPLANT 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7401","description":"MOMETASONE FUROATE SINUS IMPLANT 10 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOMETASONE FUROATE SINUS IMPLANT 10 MCG SINUVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9122","description":"MOMETASONE FUROATE SINUS IMPLANT 10 MCG SINUVA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOMETASONE FUROATE SINUS IMPLANT 370 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1090","description":"MOMETASONE FUROATE SINUS IMPLANT 370 MICROGRAMS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MON  AND  STORAGE CRYOPRESERVED EMBRYOS PER 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4040","description":"MON  AND  STORAGE CRYOPRESERVED EMBRYOS PER 30 DAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR FEATURE/DEVC STAND-ALONE/INTEGRATED NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9279","description":"MONITOR FEATURE/DEVC STAND-ALONE/INTEGRATED NOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR ID AND  LATERALIZATION SEIZURE FOCUS EEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95950","description":"MONITOR ID AND  LATERALIZATION SEIZURE FOCUS EEG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONITOR INTRAOCULAR PRESS DURING VITRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0173T","description":"MONITOR INTRAOCULAR PRESS DURING VITRECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONOCYTE DISTRIBUTION WIDTH WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0427U","description":"MONOCYTE DISTRIBUTION WIDTH WHOLE BLOOD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONTHLY SUPPLIES FOR USE OF DEVICE CODED K1016","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1017","description":"MONTHLY SUPPLIES FOR USE OF DEVICE CODED K1016","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORCELLATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1782","description":"MORCELLATOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CURRENT LDL-C  UNDER 100 MG DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8736","description":"MOST CURRENT LDL-C  UNDER 100 MG DL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST CURRENT LDL-C GRT THN EQ100 MG DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8737","description":"MOST CURRENT LDL-C GRT THN EQ100 MG DL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NOT CNTRL RSLT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8888","description":"MOST RECENT BP NOT CNTRL RSLT DOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 UNDER CONTROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8886","description":"MOST RECENT BP UNDER CONTROL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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  UNDER  90 MMHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8590","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE  UNDER  90 MMHG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BLOOD PRESSURE GRT THN EQ 90 MMHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8591","description":"MOST RECENT DIASTOLIC BLOOD PRESSURE GRT THN EQ 90 MMHG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BP UNDER 90 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8921","description":"MOST RECENT DIASTOLIC BP UNDER 90 MM HG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT DIASTOLIC BPGRT THN EQ 90 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8922","description":"MOST RECENT DIASTOLIC BPGRT THN EQ 90 MM HG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 7.0 PCT  TO 9.0 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2089","description":"MOST RECENT HEMOGLOBIN A1C LEVEL 7.0 PCT  TO 9.0 PCT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HEMOGLOBIN A1C LEVEL GT 7.0-9.0 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3045F","description":"MOST RECENT HEMOGLOBIN A1C LEVEL GT 7.0-9.0 PCT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HEMOGLOBIN HGB LEVEL  GT or equal to  10 G/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8976","description":"MOST RECENT HEMOGLOBIN HGB LEVEL  GT or equal to  10 G/DL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HEMOGLOBIN LEVEL  LT  10 G/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8973","description":"MOST RECENT HEMOGLOBIN LEVEL  LT  10 G/DL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HGB LEVEL  OVER  12.0 G DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0908","description":"MOST RECENT HGB LEVEL  OVER  12.0 G DL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT HGB LEVEL LESS THN EQ 12.0 G DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0910","description":"MOST RECENT HGB LEVEL LESS THN EQ 12.0 G DL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C  UNDER 100 MG DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8595","description":"MOST RECENT LDL-C  UNDER 100 MG DL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C GRT THN EQ100 MG DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8597","description":"MOST RECENT LDL-C GRT THN EQ100 MG DL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT LDL-C NOT UND CNTRL DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8893","description":"MOST RECENT LDL-C NOT UND CNTRL DOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT OFFICE VISIT DIASTOLIC  UNDER 80MMHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8793","description":"MOST RECENT OFFICE VISIT DIASTOLIC  UNDER 80MMHG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT OFFICE VISIT DIASTOLIC 80-89MMHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8794","description":"MOST RECENT OFFICE VISIT DIASTOLIC 80-89MMHG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT OFFICE VISIT DIASTOLIC GRT THN EQ90MMHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8795","description":"MOST RECENT OFFICE VISIT DIASTOLIC GRT THN EQ90MMHG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT OFFICE VISIT SYSTOLIC  UNDER 130MMHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8790","description":"MOST RECENT OFFICE VISIT SYSTOLIC  UNDER 130MMHG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT OFFICE VISIT SYSTOLIC 130-139MMHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8791","description":"MOST RECENT OFFICE VISIT SYSTOLIC 130-139MMHG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT OFFICE VISIT SYSTOLIC GRT THN EQ140MMHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8792","description":"MOST RECENT OFFICE VISIT SYSTOLIC GRT THN EQ140MMHG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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  UNDER  140 MMHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8588","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE  UNDER  140 MMHG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BLOOD PRESSURE GRT THN EQ 140 MMHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8589","description":"MOST RECENT SYSTOLIC BLOOD PRESSURE GRT THN EQ 140 MMHG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BP  UNDER  140 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8919","description":"MOST RECENT SYSTOLIC BP  UNDER  140 MM HG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOST RECENT SYSTOLIC BPGRT THN EQ140 MM HG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8920","description":"MOST RECENT SYSTOLIC BPGRT THN EQ140 MM HG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 LDL-C UND CNTRL RSLT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8890","description":"MOST RECNT LDL-C UND CNTRL RSLT DOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTOR COG SEMI-IMMRSV VR FACIL GAIT TRAING EA 15","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0791T","description":"MOTOR COG SEMI-IMMRSV VR FACIL GAIT TRAING EA 15","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTOR FUNCTION MAPPING NAVIGATED TMS TX PLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0310T","description":"MOTOR FUNCTION MAPPING NAVIGATED TMS TX PLAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTOR SPEECH FUNCT LIMIT D C STATUS D C FROM TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9158","description":"MOTOR SPEECH FUNCT LIMIT D C STATUS D C FROM TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTOR SPEECH FUNCT LIMIT PROJ GOAL STATUS AT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9186","description":"MOTOR SPEECH FUNCT LIMIT PROJ GOAL STATUS AT TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTOR SPEECH SCORE DISCH NOT HIGHR, NO REAS SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8613","description":"MOTOR SPEECH SCORE DISCH NOT HIGHR, NO REAS SPEC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTOR SPEECH SCORE HIGHER AT DISCH THAN ADMIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8612","description":"MOTOR SPEECH SCORE HIGHER AT DISCH THAN ADMIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR ANGIO NO CONTRST FLW W/CONTRST SP CANAL CNTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8933","description":"MR ANGIO NO CONTRST FLW W/CONTRST SP CANAL CNTN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR ANGIO W/O CONTRST FLWED W/CONTRST LOW EXTRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8914","description":"MR ANGIO W/O CONTRST FLWED W/CONTRST LOW EXTRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR ANGIO W/O CONTRST FOLLOWED W/CONTRST UP EXT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8936","description":"MR ANGIO W/O CONTRST FOLLOWED W/CONTRST UP EXT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR ANGIO WITHOUT CONTRST FOLLOWED W/CONTRST ABD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8902","description":"MR ANGIO WITHOUT CONTRST FOLLOWED W/CONTRST ABD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR ANGIO WITHOUT CONTRST FOLLOWED W/CONTRST CHST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8911","description":"MR ANGIO WITHOUT CONTRST FOLLOWED W/CONTRST CHST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR ANGIOGRAPHY W/CONTRAST SPINAL CANAL CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8931","description":"MR ANGIOGRAPHY W/CONTRAST SPINAL CANAL CONTENTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR ANGIOGRAPHY W/O CONTRST SPINAL CANAL CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8932","description":"MR ANGIOGRAPHY W/O CONTRST SPINAL CANAL CONTENTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR ANGIOGRAPHY WITH CONTRAST ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8900","description":"MR ANGIOGRAPHY WITH CONTRAST ABDOMEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR ANGIOGRAPHY WITH CONTRAST CHEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8909","description":"MR ANGIOGRAPHY WITH CONTRAST CHEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR ANGIOGRAPHY WITH CONTRAST LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8912","description":"MR ANGIOGRAPHY WITH CONTRAST LOWER EXTREMITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR ANGIOGRAPHY WITH CONTRAST PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8918","description":"MR ANGIOGRAPHY WITH CONTRAST PELVIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR ANGIOGRAPHY WITH CONTRAST UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8934","description":"MR ANGIOGRAPHY WITH CONTRAST UPPER EXTREMITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR ANGIOGRAPHY WITHOUT CONTRAST ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8901","description":"MR ANGIOGRAPHY WITHOUT CONTRAST ABDOMEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR ANGIOGRAPHY WITHOUT CONTRAST CHEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8910","description":"MR ANGIOGRAPHY WITHOUT CONTRAST CHEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR ANGIOGRAPHY WITHOUT CONTRAST LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8913","description":"MR ANGIOGRAPHY WITHOUT CONTRAST LOWER EXTREMITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR ANGIOGRAPHY WITHOUT CONTRAST PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8919","description":"MR ANGIOGRAPHY WITHOUT CONTRAST PELVIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR ANGIOGRAPHY WITHOUT CONTRAST UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8935","description":"MR ANGIOGRAPHY WITHOUT CONTRAST UPPER EXTREMITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR IMAG W/O CONTRST FLWED W/CONTRST BRST; BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8908","description":"MR IMAG W/O CONTRST FLWED W/CONTRST BRST; BIL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR IMAG W/O CONTRST FLWED W/CONTRST BRST; UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8905","description":"MR IMAG W/O CONTRST FLWED W/CONTRST BRST; UNI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR IMAGING WITH CONTRAST BREAST; BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8906","description":"MR IMAGING WITH CONTRAST BREAST; BILATERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR IMAGING WITH CONTRAST BREAST; UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8903","description":"MR IMAGING WITH CONTRAST BREAST; UNILATERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR IMAGING WITHOUT CONTRAST BREAST; BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8907","description":"MR IMAGING WITHOUT CONTRAST BREAST; BILATERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MR IMAGING WITHOUT CONTRAST BREAST; UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8904","description":"MR IMAGING WITHOUT CONTRAST BREAST; UNILATERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA WITHOUT CONTRAST FOLLOWED W/CONTRAST PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8920","description":"MRA WITHOUT CONTRAST FOLLOWED W/CONTRAST PELVIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70558","description":"MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/O  and  W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70559","description":"MRI BRAIN OPEN INTRACRANIAL PX W/O  and  W/CONTRAST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70557","description":"MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77059","description":"MRI BREAST BILATERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77058","description":"MRI BREAST UNILATERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI WITH INHALED HPX CONTRAST AGENT CHEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9791","description":"MRI WITH INHALED HPX CONTRAST AGENT CHEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH2 GENE MRNA SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0159U","description":"MSH2 GENE MRNA SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH6 GENE MRNA SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0160U","description":"MSH6 GENE MRNA SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUCOPOLYSACCHARIDES SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83866","description":"MUCOPOLYSACCHARIDES SCREEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUCUS TRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8210","description":"MUCUS TRAP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTI-SPECTRAL DIGITAL SKIN LES ANALYSIS 1-5 LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0400T","description":"MULTI-SPECTRAL DIGITAL SKIN LES ANALYSIS 1-5 LES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTI-SPECTRAL DIGITAL SKIN LES ANALYSIS 6 PLUS  LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0401T","description":"MULTI-SPECTRAL DIGITAL SKIN LES ANALYSIS 6 PLUS  LES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIPLE FAM GROUP BHV TX GDN PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97157","description":"MULTIPLE FAM GROUP BHV TX GDN PHYS/QHP EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIPLE FAMILY GROUP BEHAV TREATMENT GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0371T","description":"MULTIPLE FAMILY GROUP BEHAV TREATMENT GUIDANCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIPLE FAMILY GROUP PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90849","description":"MULTIPLE FAMILY GROUP PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTISYSTEMIC THERAPY JUVENILES PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2033","description":"MULTISYSTEMIC THERAPY JUVENILES PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIVARIATE ALYS PT FINDINGS CPTR PROBABILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0185T","description":"MULTIVARIATE ALYS PT FINDINGS CPTR PROBABILITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUMPS VACCINE SC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90704","description":"MUMPS VACCINE SC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS FASCIOCUTANEOUS FLAP HEAD AND NC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15732","description":"MUSC MYOCUTANEOUS FASCIOCUTANEOUS FLAP HEAD AND NC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC TSTG MNL W REPRT HAND W WO CMPRSN NRML SIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95832","description":"MUSC TSTG MNL W REPRT HAND W WO CMPRSN NRML SIDE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC TSTG MNL W REPRT TOTAL EVAL BODY EX HANDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95833","description":"MUSC TSTG MNL W REPRT TOTAL EVAL BODY EX HANDS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC TSTG MNL W REPRT TOTAL EVAL BODY W HANDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95834","description":"MUSC TSTG MNL W REPRT TOTAL EVAL BODY W HANDS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC TSTG MNL W REPRT XTR EX HAND TRNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95831","description":"MUSC TSTG MNL W REPRT XTR EX HAND TRNK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUTATION ID ENZYMATIC LIG PRIMER XTN 1 SGM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83914","description":"MUTATION ID ENZYMATIC LIG PRIMER XTN 1 SGM EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL IMG BY MCG DETCJ CARDIAC ISCHEMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0541T","description":"MYOCARDIAL IMG BY MCG DETCJ CARDIAC ISCHEMIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL IMG BY MCG DETCJ CARDIAC ISCHEMIA I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0542T","description":"MYOCARDIAL IMG BY MCG DETCJ CARDIAC ISCHEMIA I AND R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL STRAIN IMAGING QUAN ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0399T","description":"MYOCARDIAL STRAIN IMAGING QUAN ASSMT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD SYMP INNERVAJ IMG PLNR QUAL and QUANT W/SPECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0332T","description":"MYOCRD SYMP INNERVAJ IMG PLNR QUAL and QUANT W/SPECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD SYMPATHETIC INNERVAJ IMG PLNR QUAL AND QUANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0331T","description":"MYOCRD SYMPATHETIC INNERVAJ IMG PLNR QUAL AND QUANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY LASER-ASSISTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2225","description":"MYRINGOTOMY LASER-ASSISTED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Member Reimbursement","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"SH998","description":"Member Reimbursement","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N BLOCK INJ SPINAL ACCESSOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64412","description":"N BLOCK INJ SPINAL ACCESSOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS ARTL PLAQ ALYS DATA PREP  and  TRANSMISSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0711T","description":"N-INVAS ARTL PLAQ ALYS DATA PREP  and  TRANSMISSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS ARTL PLAQ ALYS DATA PRP QUAN REVIEW I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0710T","description":"N-INVAS ARTL PLAQ ALYS DATA PRP QUAN REVIEW I and R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS ARTL PLAQ ALYS DATA REVIEW I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0713T","description":"N-INVAS ARTL PLAQ ALYS DATA REVIEW I and R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS ARTL PLAQ ALYS QUAN STRUX and COMPOS VSL WAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0712T","description":"N-INVAS ARTL PLAQ ALYS QUAN STRUX and COMPOS VSL WAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS PHYSIOLOGIC STD XTRC ART COMPL BI STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93875","description":"N-INVAS PHYSIOLOGIC STD XTRC ART COMPL BI STD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NARCOSYNTHESIS PSYC DX AND THER PURPOSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90865","description":"NARCOSYNTHESIS PSYC DX AND THER PURPOSES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":234.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":234.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL ENDO SURG; BALLOON DILAT EUSTACHIAN TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9745","description":"NASAL ENDO SURG; BALLOON DILAT EUSTACHIAN TUBE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL ENDOSCOPIC POSNASAL ENDOSCOPIC POSTOP DEBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2342","description":"NASAL ENDOSCOPIC POSNASAL ENDOSCOPIC POSTOP DEBR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL PILLOWS COMB ORAL NASAL MASK REPL PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0555","description":"NASAL PILLOWS COMB ORAL NASAL MASK REPL PAIR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5913","description":"NASAL PROSTHESIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL PROSTHESIS REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5926","description":"NASAL PROSTHESIS REPLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL SEPTAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5922","description":"NASAL SEPTAL PROSTHESIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL VACCINE INHALATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3530","description":"NASAL VACCINE INHALATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDO CRYO NSL TISS  and / NERVE UNIL/BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9771","description":"NASAL/SINUS ENDO CRYO NSL TISS  and / NERVE UNIL/BIL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9148","description":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9149","description":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9150","description":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NCNTC NR IFR SPECTRSC FLAP/WND I and R ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0642T","description":"NCNTC NR IFR SPECTRSC FLAP/WND I and R ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NCNTC NR IFR SPECTRSC FLAP/WND IMG ACQUISJ ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0641T","description":"NCNTC NR IFR SPECTRSC FLAP/WND IMG ACQUISJ ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NCNTC NR IFR SPECTRSC OTH/THN PAD 1ST ANTMC SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0640T","description":"NCNTC NR IFR SPECTRSC OTH/THN PAD 1ST ANTMC SITE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NCNTC NR IFR SPECTRSC OTH/THN PAD EA ANTMC SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0859T","description":"NCNTC NR IFR SPECTRSC OTH/THN PAD EA ANTMC SITE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDOVAG CRYG COOLD RF REMDL TISS FML BLDR NCK and URT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0672T","description":"NDOVAG CRYG COOLD RF REMDL TISS FML BLDR NCK and URT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEAR IFR GUIDE OF VASC SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0287T","description":"NEAR IFR GUIDE OF VASC SITE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEAR IFR SPECTRSC OF WOUNDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0286T","description":"NEAR IFR SPECTRSC OF WOUNDS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEAR INFRARED DUAL IMG MEIBOMIAN GLND UNI/BI I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0507T","description":"NEAR INFRARED DUAL IMG MEIBOMIAN GLND UNI/BI I and R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY CORONER CALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88045","description":"NECROPSY CORONER CALL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY FORENSIC EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88040","description":"NECROPSY FORENSIC EXAMINATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS  and  MICROSCOPIC INFANT W/BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88028","description":"NECROPSY GROSS  and  MICROSCOPIC INFANT W/BRAIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS  and  MICROSCOPIC W/BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88025","description":"NECROPSY GROSS  and  MICROSCOPIC W/BRAIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS  and  MICROSCOPIC W/O CNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88020","description":"NECROPSY GROSS  and  MICROSCOPIC W/O CNS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS AND MCRSCP BRAIN  AND  SPINAL CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88027","description":"NECROPSY GROSS AND MCRSCP BRAIN  AND  SPINAL CORD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS EXAM MACERATED STILLBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88016","description":"NECROPSY GROSS EXAM MACERATED STILLBORN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS EXAM STILLBORN/NEWBORN W/BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88014","description":"NECROPSY GROSS EXAM STILLBORN/NEWBORN W/BRAIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS EXAMINATION INFANT W/BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88012","description":"NECROPSY GROSS EXAMINATION INFANT W/BRAIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS EXAMINATION ONLY W/O CNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88000","description":"NECROPSY GROSS EXAMINATION ONLY W/O CNS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS EXAMINATION W/BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88005","description":"NECROPSY GROSS EXAMINATION W/BRAIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS EXAMINATION W/BRAIN and SPINAL CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88007","description":"NECROPSY GROSS EXAMINATION W/BRAIN and SPINAL CORD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY GROSS and MCRSCP STILLBORN/NEWBORN BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88029","description":"NECROPSY GROSS and MCRSCP STILLBORN/NEWBORN BRAIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY LIMITD GROSS and /MCRSCP SINGLE ORGAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88037","description":"NECROPSY LIMITD GROSS and /MCRSCP SINGLE ORGAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NECROPSY LIMITED GROSS and /MCRSCP REGIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88036","description":"NECROPSY LIMITED GROSS and /MCRSCP REGIONAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20560","description":"NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20561","description":"NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.7505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.7505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE-FREE INJECTION DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4210","description":"NEEDLE-FREE INJECTION DEVICE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEG PRESS VENT; PRTBLE STATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0460","description":"NEG PRESS VENT; PRTBLE STATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEONATE CRIT CARE, INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99295","description":"NEONATE CRIT CARE, INITIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEONATE CRITICAL CARE SUBSEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99296","description":"NEONATE CRITICAL CARE SUBSEQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOPATCH OR THERION 1 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4176","description":"NEOPATCH OR THERION 1 SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM MEMBRANE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4266","description":"NEOSTIM MEMBRANE PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEOSTIM TL, PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4265","description":"NEOSTIM TL, PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NETUPITANT 300 MG  AND  PALO 0.5 MG OR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9978","description":"NETUPITANT 300 MG  AND  PALO 0.5 MG OR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NETUPITNT 300MG AND PALONOSTRN 0.5 MG O","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9448","description":"NETUPITNT 300MG AND PALONOSTRN 0.5 MG O","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURO AUTISM QUAN MEAS 6 CTR CARBON METABOLITES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0139U","description":"NEURO AUTISM QUAN MEAS 6 CTR CARBON METABOLITES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURO CEREBRAL FOLATE DEFICIENCY SERUM QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0399U","description":"NEURO CEREBRAL FOLATE DEFICIENCY SERUM QUAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURO MLD COG IMPAIRMNT ALYS B-AMYLOID 1-42 and 1-40","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0358U","description":"NEURO MLD COG IMPAIRMNT ALYS B-AMYLOID 1-42 and 1-40","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96116","description":"NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96121","description":"NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62163","description":"NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROLYSIS INJ MT NEUROMA INTERDIGTL NEURITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2135","description":"NEUROLYSIS INJ MT NEUROMA INTERDIGTL NEURITIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYC TSTG W PROF I AND R ADMN BY TECH PR HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96119","description":"NEUROPSYC TSTG W PROF I AND R ADMN BY TECH PR HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHOLOG TESTING COMPUTER W PROF I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96120","description":"NEUROPSYCHOLOG TESTING COMPUTER W PROF I AND R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96132","description":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":190.0444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":190.0444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96133","description":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW DX COPD PT DOC SMOK CESS INTRVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8093","description":"NEW DX COPD PT DOC SMOK CESS INTRVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW DX COPD PT NO DOC SMOK INTRVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8094","description":"NEW DX COPD PT NO DOC SMOK INTRVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW DX OP DOC TREAT PTH 3 MOS DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8103","description":"NEW DX OP DOC TREAT PTH 3 MOS DX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW TECH IO LENS CATGY 4 DEFINED FEDERAL REG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q1004","description":"NEW TECH IO LENS CATGY 4 DEFINED FEDERAL REG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW TECH IO LENS CATGY 5 DEFINED FEDERAL REG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q1005","description":"NEW TECH IO LENS CATGY 5 DEFINED FEDERAL REG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEW TECHNOLOGY INTRAOCULAR LENS CATEGORY 3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q1003","description":"NEW TECHNOLOGY INTRAOCULAR LENS CATEGORY 3","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEWBORN CARE, NOT IN HOSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99432","description":"NEWBORN CARE, NOT IN HOSP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEWBORN DISCHARGE DAY HOSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99435","description":"NEWBORN DISCHARGE DAY HOSP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BACT AND FNG GRAM NEG ORG ID  AND  RX RESIST DNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0142U","description":"NFCT DS BACT AND FNG GRAM NEG ORG ID  AND  RX RESIST DNA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BACT AND FNG GRAM POS ORG ID  AND  RX RESIST DNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0141U","description":"NFCT DS BACT AND FNG GRAM POS ORG ID  AND  RX RESIST DNA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS BCT/VIR RESPIR TRC NFCTJ DNA/RNA 33 TRGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0151U","description":"NFCT DS BCT/VIR RESPIR TRC NFCTJ DNA/RNA 33 TRGT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS CHRNC HCV 6 BIOCHEM ASSAY SRM ALG LVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0001M","description":"NFCT DS CHRNC HCV 6 BIOCHEM ASSAY SRM ALG LVR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS DNA 27 RESIST GENES BCT CUL PR ISOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0004U","description":"NFCT DS DNA 27 RESIST GENES BCT CUL PR ISOL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS FUNGAL PATHOGEN ID DNA 15 FUNGAL TARGETS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0140U","description":"NFCT DS FUNGAL PATHOGEN ID DNA 15 FUNGAL TARGETS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT DS MCRB CLL FR DNA UNTRGT NEXT GENRJ SEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0152U","description":"NFCT DS MCRB CLL FR DNA UNTRGT NEXT GENRJ SEQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NICOTINE PATCHES LEGEND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4990","description":"NICOTINE PATCHES LEGEND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NICOTINE PATCHES NON-LEGEND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4991","description":"NICOTINE PATCHES NON-LEGEND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE PROSTH CSTM FAB REUSABL ANY MATL ANY T EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8033","description":"NIPPLE PROSTH CSTM FAB REUSABL ANY MATL ANY T EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9526","description":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES/STERD TFRML EDRL W/US CER/THOR EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0229T","description":"NJX ANES/STERD TFRML EDRL W/US CER/THOR EA ADDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES/STEROID TFRML EDRL W/US CER/THOR 1 LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0228T","description":"NJX ANES/STEROID TFRML EDRL W/US CER/THOR 1 LVL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES/STEROID TFRML EDRL W/US LUM/SAC 1 LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0230T","description":"NJX ANES/STEROID TFRML EDRL W/US LUM/SAC 1 LVL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES/STEROID TFRML EDRL W/US LUM/SAC EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0231T","description":"NJX ANES/STEROID TFRML EDRL W/US LUM/SAC EA ADDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AUTOL WBC CONCENTR INC IMG GDN HRV  AND  PREP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0481T","description":"NJX AUTOL WBC CONCENTR INC IMG GDN HRV  AND  PREP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0707T","description":"NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0232T","description":"NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX STEM CLL PRDCT PERIANAL PERIFISTULAR SFT TIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0748T","description":"NJX STEM CLL PRDCT PERIANAL PERIFISTULAR SFT TIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO 2 FOOTPLATES EXCEPT FOR ELEVATING LEGREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0970","description":"NO 2 FOOTPLATES EXCEPT FOR ELEVATING LEGREST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO ANTILIPID TX AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8587","description":"NO ANTILIPID TX AT DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO ANTIPLATELET MED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8581","description":"NO ANTIPLATELET MED AT DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO ASSESSED LEVEL OF ACTIVITY AND SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0912","description":"NO ASSESSED LEVEL OF ACTIVITY AND SYMPTOMS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO ATTENTION SCORE EITHER AT ADMISSION OR DISCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8608","description":"NO ATTENTION SCORE EITHER AT ADMISSION OR DISCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO BETA-BLOCKER AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8584","description":"NO BETA-BLOCKER AT DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DEEP STERNAL WOUND INFECTION/MEDIASTINITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8572","description":"NO DEEP STERNAL WOUND INFECTION/MEDIASTINITIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BP MSR REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8889","description":"NO DOC BP MSR REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC CLIN  AND  PT INVLV DLVTP TX POC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8438","description":"NO DOC CLIN  AND  PT INVLV DLVTP TX POC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC COGNTV IMPR SCR USE STD TOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8435","description":"NO DOC COGNTV IMPR SCR USE STD TOOL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC DISC PT RCRD DISC BTW PHYS/Q HC PROF  and  PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9401","description":"NO DOC DISC PT RCRD DISC BTW PHYS/Q HC PROF  and  PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC DZ TYP LOC AND ACT RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0922","description":"NO DOC DZ TYP LOC AND ACT RSN NOT GVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NEGATIVE/MANAGED POSITIVE TB SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9360","description":"NO DOC NEGATIVE/MANAGED POSITIVE TB SCREEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC RADIATION TX REC 12 M 1ST OV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8383","description":"NO DOC RADIATION TX REC 12 M 1ST OV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOC SIGNED OPIOID TX AGRMNT LST ONCE DUR TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9579","description":"NO DOC SIGNED OPIOID TX AGRMNT LST ONCE DUR TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOCUMENT OF PAIN ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8441","description":"NO DOCUMENT OF PAIN ASSESSMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 OF BLOOD PRESSURE MEASUREMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8592","description":"NO DOCUMENTATION OF BLOOD PRESSURE MEASUREMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO DOCUMENTATION PAIN ASSESSMENT REASON NOT GIVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8732","description":"NO DOCUMENTATION PAIN ASSESSMENT REASON NOT GIVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO FOLLOWUP CTA, DUPLEX, MRA ABD PELVIS PERFORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8814","description":"NO FOLLOWUP CTA, DUPLEX, MRA ABD PELVIS PERFORM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO IMPLANT/INSERTABLE DEVC USED W/DEVC-INT PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1890","description":"NO IMPLANT/INSERTABLE DEVC USED W/DEVC-INT PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO MEMORY SCORE AT ADMISSION OR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8611","description":"NO MEMORY SCORE AT ADMISSION OR DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO NEUROPSYCHIATRIC SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8948","description":"NO NEUROPSYCHIATRIC SYMPTOMS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO PATCH CLOSURE CEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8525","description":"NO PATCH CLOSURE CEA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO PATCH CLOSURE CONVENTIONAL CEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8526","description":"NO PATCH CLOSURE CONVENTIONAL CEA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PRSC NO ACCESS QUAL E-PRSC SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8445","description":"NO PRSC NO ACCESS QUAL E-PRSC SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 READING SCORE AT ADMISSION OR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8617","description":"NO READING SCORE AT ADMISSION OR DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SPOKEN LANG COMP SCORE AT ADMISSION OR DISCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8605","description":"NO SPOKEN LANG COMP SCORE AT ADMISSION OR DISCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO SPOKEN LANG EXPRES SCORE AT ADMIT OR DISCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8620","description":"NO SPOKEN LANG EXPRES SCORE AT ADMIT OR DISCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO STROKE FOLLOWING ISOLATED CABG SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8574","description":"NO STROKE FOLLOWING ISOLATED CABG SURGERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SWALLOWING FUNC COM SCORE AT ADMIT OR DISCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8626","description":"NO SWALLOWING FUNC COM SCORE AT ADMIT OR DISCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NO UNPLAN RUP POST CAP RQR VITRECT DUR CC SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9390","description":"NO UNPLAN RUP POST CAP RQR VITRECT DUR CC SURG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WRITING SCORE AT ADMISSION OR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8623","description":"NO WRITING SCORE AT ADMISSION OR DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOC DRUGS INHALATION SOLUTION ADMINED THRU DME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7699","description":"NOC DRUGS INHALATION SOLUTION ADMINED THRU DME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOC FOR ENTERAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B9998","description":"NOC FOR ENTERAL SUPPLIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOC FOR PARENTERAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B9999","description":"NOC FOR PARENTERAL SUPPLIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOC RX OTH THAN INHALATION RX ADMINED THRU DME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7799","description":"NOC RX OTH THAN INHALATION RX ADMINED THRU DME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON - SURGICAL SIALOLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7979","description":"NON - SURGICAL SIALOLITHOTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-ARTHROSCOPIC LYSIS AND LAVAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7871","description":"NON-ARTHROSCOPIC LYSIS AND LAVAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-CNTC WND WARMING DEVC W/WARMING CARD and COVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0231","description":"NON-CNTC WND WARMING DEVC W/WARMING CARD and COVR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-CNTC WND WARMING WND COVR W/DEVC and CARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6000","description":"NON-CNTC WND WARMING WND COVR W/DEVC and CARD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-DISPOSABLE UNDERPADS ALL SIZES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4553","description":"NON-DISPOSABLE UNDERPADS ALL SIZES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-EMERG TRANSPORTATION; PT ATTENDANT/ESCORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2001","description":"NON-EMERG TRANSPORTATION; PT ATTENDANT/ESCORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-EMERG TRNSPRT; COMMERCIAL CARRIER MULTI-PASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2004","description":"NON-EMERG TRNSPRT; COMMERCIAL CARRIER MULTI-PASS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-EMERG TRNSPRT; STRETCHER VAN MILEAGE; MILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2049","description":"NON-EMERG TRNSPRT; STRETCHER VAN MILEAGE; MILE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-EMERGENCY TRANSPORTATION; PER MILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0215","description":"NON-EMERGENCY TRANSPORTATION; PER MILE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-IONIZING DX PROC CPBL QUANTIFYING  MON  AND  REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0600","description":"NON-IONIZING DX PROC CPBL QUANTIFYING  MON  AND  REC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-PRESCRIPTION LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0510","description":"NON-PRESCRIPTION LENS PER LENS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-PVC IV ADMN SET W/RX THAT ARE NOT STABL PVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1016","description":"NON-PVC IV ADMN SET W/RX THAT ARE NOT STABL PVC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9698","description":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-THRML PULS RADIOWAV ELECMAGNET ENRGY TX DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0761","description":"NON-THRML PULS RADIOWAV ELECMAGNET ENRGY TX DEVC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONCOVERED ITEM OR SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9270","description":"NONCOVERED ITEM OR SERVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONCOVR PROC NO ANES/LOC ANES-MCR QUAL TRIAL-DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0294","description":"NONCOVR PROC NO ANES/LOC ANES-MCR QUAL TRIAL-DAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONCOVR SURG CONSC SEDAT ANES-MCR QUAL TRIAL-DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0293","description":"NONCOVR SURG CONSC SEDAT ANES-MCR QUAL TRIAL-DAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONELECTRIC HEAT PAD MOIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0238","description":"NONELECTRIC HEAT PAD MOIST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERGENCY TRANSPORTATION; STRETCHER VAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2005","description":"NONEMERGENCY TRANSPORTATION; STRETCHER VAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE VAGUS NERVE STIMULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1020","description":"NONINVASIVE VAGUS NERVE STIMULATOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONOPHTHALMIC FLUORESCENT VASCULAR ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9733","description":"NONOPHTHALMIC FLUORESCENT VASCULAR ANGIOGRAPHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPHYSICIAN ONLINE ASSESSMENT AND MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98969","description":"NONPHYSICIAN ONLINE ASSESSMENT AND MANAGEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEU CPRSN CTR W/O CALIBRATED GRADIENT PRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1031","description":"NONPNEU CPRSN CTR W/O CALIBRATED GRADIENT PRS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEU SEQUENTIAL COMPRESSION GARMENT FULL LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1032","description":"NONPNEU SEQUENTIAL COMPRESSION GARMENT FULL LEG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEU SEQUENTIAL COMPRESSION GARMENT HALF LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1033","description":"NONPNEU SEQUENTIAL COMPRESSION GARMENT HALF LEG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC COMPR CONTRL W/SEQ CALIBR GRDNT PRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1024","description":"NONPNEUMATIC COMPR CONTRL W/SEQ CALIBR GRDNT PRS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1025","description":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL ARM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPRESCRIPTION DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9150","description":"NONPRESCRIPTION DRUG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONRND NONBLINDED PROC NYHA CLASS II III IV HF;","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9760","description":"NONRND NONBLINDED PROC NYHA CLASS II III IV HF;","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSHEET FORM SKIN SUB FDA-CLEARED AS DEVC NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4100","description":"NONSHEET FORM SKIN SUB FDA-CLEARED AS DEVC NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSTANDARD LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0581","description":"NONSTANDARD LENS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSTANDARD SIZE OR LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3255","description":"NONSTANDARD SIZE OR LENGTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSTANDARD SIZE OR WIDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3254","description":"NONSTANDARD SIZE OR WIDTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NEWBORN CARE HOSPITAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99433","description":"NORMAL NEWBORN CARE HOSPITAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOT CURRENT TOBACCO SMOKER, NO 2ND HAND EXPOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8691","description":"NOT CURRENT TOBACCO SMOKER, NO 2ND HAND EXPOSURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOT MEDICALLY NECESSARY SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9986","description":"NOT MEDICALLY NECESSARY SERVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOT OTHERWISE CLASSIFIED ANTINEOPLASTIC DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9999","description":"NOT OTHERWISE CLASSIFIED ANTINEOPLASTIC DRUG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOT OTHERWISE CLASSIFIED SINGLE VISION LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2199","description":"NOT OTHERWISE CLASSIFIED SINGLE VISION LENS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOT REFERRED TO PHYSICAN FOR OTOLOGIC EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8558","description":"NOT REFERRED TO PHYSICAN FOR OTOLOGIC EVALUATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOT TOBACCO SMOKER CURRENT NOT 2ND HAND EXPOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8687","description":"NOT TOBACCO SMOKER CURRENT NOT 2ND HAND EXPOSURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOT TREATED SPOKEN LANGUAGE COMPREHENS DISORDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8741","description":"NOT TREATED SPOKEN LANGUAGE COMPREHENS DISORDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOT TREATED SPOKEN LANGUAGE EXPRESSION DISORDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8746","description":"NOT TREATED SPOKEN LANGUAGE EXPRESSION DISORDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NOVACHOR PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4194","description":"NOVACHOR PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NP VST MEMBER HOME OUTSIDE CAPITATION ARRANGMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0274","description":"NP VST MEMBER HOME OUTSIDE CAPITATION ARRANGMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NRV CNDJ AMPLITUDE  AND  LATENCY EACH NERVE SENSORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95904","description":"NRV CNDJ AMPLITUDE  AND  LATENCY EACH NERVE SENSORY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NRV CNDJ AMPLT AND LATENCY EA NRV MOTOR W F-WAVE STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95903","description":"NRV CNDJ AMPLT AND LATENCY EA NRV MOTOR W F-WAVE STD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NRV CNDJ AMPLT AND LATNCY EA NRV MOTR W O F-WAVE STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95900","description":"NRV CNDJ AMPLT AND LATNCY EA NRV MOTR W O F-WAVE STD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSCLC BX CYT RPRT DOC CLASS H TYP/NSCLC-NOS W/E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9283","description":"NSCLC BX CYT RPRT DOC CLASS H TYP/NSCLC-NOS W/E","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSL NDSC SURG ETHMD PLMT DRUG ELUTNG IMPLNT W BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0407T","description":"NSL NDSC SURG ETHMD PLMT DRUG ELUTNG IMPLNT W BX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSL NDSC SURG ETHMD SIN PLMT DRUG ELUTNG IMPLNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0406T","description":"NSL NDSC SURG ETHMD SIN PLMT DRUG ELUTNG IMPLNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUCLEAR MED DATA PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78891","description":"NUCLEAR MED DATA PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUCLEAR MEDICINE DATA PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78890","description":"NUCLEAR MEDICINE DATA PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUDYN DL OR NUDYN DL MESH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4285","description":"NUDYN DL OR NUDYN DL MESH PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUDYN SL OR NUDYN SLW PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4286","description":"NUDYN SL OR NUDYN SLW PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUROPSYC TESTING PR HR W PT  AND  INTERPJ TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96118","description":"NUROPSYC TESTING PR HR W PT  AND  INTERPJ TIME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING CARE IN THE HOME BY LPN PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1031","description":"NURSING CARE IN THE HOME BY LPN PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING CARE IN THE HOME; BY LPN PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9124","description":"NURSING CARE IN THE HOME; BY LPN PER HOUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING CARE THE HOME REGISTERED NURSE PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1030","description":"NURSING CARE THE HOME REGISTERED NURSE PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9123","description":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITIONAL COUNSELING CONTROL OF DENTAL DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1310","description":"NUTRITIONAL COUNSELING CONTROL OF DENTAL DISEASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUTRITIONAL COUNSELING DIETITIAN VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9470","description":"NUTRITIONAL COUNSELING DIETITIAN VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Newborn resuscitation","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99440","description":"Newborn resuscitation","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 ACCESS BATTRY CHARGER PRTBLE CONC REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1357","description":"O2 ACCESS BATTRY CHARGER PRTBLE CONC REPL EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 ACCESS BTTRY PACK/CRTRDGE PRTBLE CONC REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1356","description":"O2 ACCESS BTTRY PACK/CRTRDGE PRTBLE CONC REPL EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 ACCESS DC POWER ADAPTER PRTBLE CONC REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1358","description":"O2 ACCESS DC POWER ADAPTER PRTBLE CONC REPL EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 ACCESS WHEELED CART PRTBLE CYL/CONC REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1354","description":"O2 ACCESS WHEELED CART PRTBLE CYL/CONC REPL EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 CONTENTS GASEOUS 1 UNIT EQULS 1 CUBIC FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8120","description":"O2 CONTENTS GASEOUS 1 UNIT EQULS 1 CUBIC FOOT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS ULTRA TRI-LAYER MATRIX, PER SQ. CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9365","description":"OASIS ULTRA TRI-LAYER MATRIX, PER SQ. CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4124","description":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB PE BIOCHEM ASSAY 3 ANAL QUAL ASSMT Y CHRMSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0128U","description":"OB PE BIOCHEM ASSAY 3 ANAL QUAL ASSMT Y CHRMSM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB PREECLAMPSIA BIOCHEM ASSAY 3 ANALYTES ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0127U","description":"OB PREECLAMPSIA BIOCHEM ASSAY 3 ANALYTES ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB XPND CAR SCR 145 GEN NXT GNRJ SEQ FRAG ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0400U","description":"OB XPND CAR SCR 145 GEN NXT GNRJ SEQ FRAG ALYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSERVATION CARE DISCHARGE MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99217","description":"OBSERVATION CARE DISCHARGE MANAGEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSERVATIONAL BEHAV ASSESSMENT ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0361T","description":"OBSERVATIONAL BEHAV ASSESSMENT ADDL 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSERVATIONAL BEHAV ASSESSMENT FIRST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0360T","description":"OBSERVATIONAL BEHAV ASSESSMENT FIRST 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBTURATOR PROSTHESIS DEFINITIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5932","description":"OBTURATOR PROSTHESIS DEFINITIVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBTURATOR PROSTHESIS MODIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5933","description":"OBTURATOR PROSTHESIS MODIFICATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBTURATOR PROSTHESIS SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5931","description":"OBTURATOR PROSTHESIS SURGICAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBTURATOR/PROSTHESIS INTERIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5936","description":"OBTURATOR/PROSTHESIS INTERIM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL ADJUSTMENT - COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9952","description":"OCCLUSAL ADJUSTMENT - COMPLETE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL ADJUSTMENT - LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9951","description":"OCCLUSAL ADJUSTMENT - LIMITED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL GUARD - HARD APPLIANCE, FULL ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9944","description":"OCCLUSAL GUARD - HARD APPLIANCE, FULL ARCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL GUARD - HARD APPLIANCE, PARTIAL ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9946","description":"OCCLUSAL GUARD - HARD APPLIANCE, PARTIAL ARCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL GUARD - SOFT APPLIANCE, FULL ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9945","description":"OCCLUSAL GUARD - SOFT APPLIANCE, FULL ARCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL GUARD ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9943","description":"OCCLUSAL GUARD ADJUSTMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL GUARD BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9940","description":"OCCLUSAL GUARD BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL ORTHOTIC DEVICE ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7881","description":"OCCLUSAL ORTHOTIC DEVICE ADJUSTMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL ORTHOTIC DEVICE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7880","description":"OCCLUSAL ORTHOTIC DEVICE BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSION ANALYSIS - MOUNTED CASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9950","description":"OCCLUSION ANALYSIS - MOUNTED CASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCULT BLOOD TEST STRIPS FOR DIALYSIS PER 50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4773","description":"OCCULT BLOOD TEST STRIPS FOR DIALYSIS PER 50","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUP TX REQ QUAL OCCUP THER HOSP/INT OP PER SES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0129","description":"OCCUP TX REQ QUAL OCCUP THER HOSP/INT OP PER SES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9129","description":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCT BREAST OR AXILL NODE SPECIMEN I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0352T","description":"OCT BREAST OR AXILL NODE SPECIMEN I AND R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCT BREAST SURG CAVITY REAL TIME/REFERRED I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0354T","description":"OCT BREAST SURG CAVITY REAL TIME/REFERRED I and R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCT MIDDLE EAR WITH I AND R BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0486T","description":"OCT MIDDLE EAR WITH I AND R BILATERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCT MIDDLE EAR WITH I AND R UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0485T","description":"OCT MIDDLE EAR WITH I AND R UNILATERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCT OF BREAST SURG CAVITY REAL TIME INTRAOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0353T","description":"OCT OF BREAST SURG CAVITY REAL TIME INTRAOP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCT SKN IMG ACQUISJ I AND R 1ST LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0470T","description":"OCT SKN IMG ACQUISJ I AND R 1ST LES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCT SKN IMG ACQUISJ I AND R EA ADDL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0471T","description":"OCT SKN IMG ACQUISJ I AND R EA ADDL LES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR DEVICE INTRAOPERATIVE DETACHED RETINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1784","description":"OCULAR DEVICE INTRAOPERATIVE DETACHED RETINA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR IMPLANT AQUEOUS DRAINAGE ASSIST DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1783","description":"OCULAR IMPLANT AQUEOUS DRAINAGE ASSIST DEVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR PHOTOSCREEN BILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0065T","description":"OCULAR PHOTOSCREEN BILAT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5916","description":"OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCULAR PROSTHESIS INTERIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5923","description":"OCULAR PROSTHESIS INTERIM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ODONTOPLASTY - PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9971","description":"ODONTOPLASTY - PER TOOTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFF-BASED TX OPIOID USE D/O; AL 70 MIN 1ST CA MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2086","description":"OFF-BASED TX OPIOID USE D/O; AL 70 MIN 1ST CA MO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":697.1202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":697.1202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFF-BASED TX OUD; AL 60 MIN SUBSEQ CALENDAR MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2087","description":"OFF-BASED TX OUD; AL 60 MIN SUBSEQ CALENDAR MO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":652.3697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":652.3697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFF-BASED TX OUD;EA ADD 30 MIN BYD 1ST 120 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2088","description":"OFF-BASED TX OUD;EA ADD 30 MIN BYD 1ST 120 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE CONSULTATION NEW/ESTAB PATIENT 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99241","description":"OFFICE CONSULTATION NEW/ESTAB PATIENT 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99201","description":"OFFICE OUTPATIENT NEW 10 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE VISIT OBSERVATION NO OTHER SRVC PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9430","description":"OFFICE VISIT OBSERVATION NO OTHER SRVC PERFORMED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE VISIT-AFTER REGULARLY SCHEDULED HOURS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9440","description":"OFFICE VISIT-AFTER REGULARLY SCHEDULED HOURS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.7505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.7505,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":279.5455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":279.5455,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.1818,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":186.3637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":186.3637,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.1818,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":327.9768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":327.9768,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":186.3637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":186.3637,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":234.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":234.795,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMNICARDIOGRAM/CARDIOINTEGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9025","description":"OMNICARDIOGRAM/CARDIOINTEGRAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BREAST MRNA GENE EXPRESSION PRFL 101 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0153U","description":"ONC BREAST MRNA GENE EXPRESSION PRFL 101 GENES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BREAST MRNA GENE EXPRESSION PRFL 101 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0153U","description":"ONC BREAST MRNA GENE EXPRESSION PRFL 101 GENES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC BRST DUX CARC PRTN XPRSN PRFL IMHCHEM 7 PRTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0295U","description":"ONC BRST DUX CARC PRTN XPRSN PRFL IMHCHEM 7 PRTN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CHEMO CYTOX ASY CSC RX RSPSE MIN 14 RX/CMBN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0435U","description":"ONC CHEMO CYTOX ASY CSC RX RSPSE MIN 14 RX/CMBN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT CA EVAL MUT and MTHYLTN MRK MULT QPCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0368U","description":"ONC CLRCT CA EVAL MUT and MTHYLTN MRK MULT QPCR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT SCR BIOCHEM ELISA 3 PLSM/SRM PRTN ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0163U","description":"ONC CLRCT SCR BIOCHEM ELISA 3 PLSM/SRM PRTN ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT SCR CLL ENUM CRCG TUM CLL WHL BLD ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0091U","description":"ONC CLRCT SCR CLL ENUM CRCG TUM CLL WHL BLD ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CLRCT SCR QUAN RT TRGT  and  SGL AMP 8 RNA MRK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0421U","description":"ONC CLRCT SCR QUAN RT TRGT  and  SGL AMP 8 RNA MRK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC CUTAN SQ CLL CARC MRNA GEN XPRSN PRFL 40 ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0315U","description":"ONC CUTAN SQ CLL CARC MRNA GEN XPRSN PRFL 40 ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC DS STATUS OVARIAN CA ST IA-B NO PROGRESSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9113","description":"ONC DS STATUS OVARIAN CA ST IA-B NO PROGRESSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC HL NEO GEN SEQ ALYS ALG QUAN DMT CLNL SEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0364U","description":"ONC HL NEO GEN SEQ ALYS ALG QUAN DMT CLNL SEQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC LNG PLSM ALYS 388 PRTN APTMR BSD PRTOMC TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0436U","description":"ONC LNG PLSM ALYS 388 PRTN APTMR BSD PRTOMC TECH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC LUNG MULTIOMICS PLASMA ALG MAL RISK LNG NDUL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0395U","description":"ONC LUNG MULTIOMICS PLASMA ALG MAL RISK LNG NDUL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC LVR SRVLNC HCC ALYS METHYLTN PATTERNS CFDNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0333U","description":"ONC LVR SRVLNC HCC ALYS METHYLTN PATTERNS CFDNA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC MLNMA AI QUAN MASS SPECTROMETRY ALYS 142","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0357U","description":"ONC MLNMA AI QUAN MASS SPECTROMETRY ALYS 142","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC MTC MRNA GENE EXPRESSION ALYS 108 GENE ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0208U","description":"ONC MTC MRNA GENE EXPRESSION ALYS 108 GENE ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC NONSM CLL LNG CA CLL FR DNA AT LEAST 109 GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0397U","description":"ONC NONSM CLL LNG CA CLL FR DNA AT LEAST 109 GEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC NONSM CLL LNG CA NXT GNRJ SEQ 37 CA RLTD GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0388U","description":"ONC NONSM CLL LNG CA NXT GNRJ SEQ 37 CA RLTD GEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC OROP/ANAL 17 BMRK DDPCR CELL FREE DNA ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0356U","description":"ONC OROP/ANAL 17 BMRK DDPCR CELL FREE DNA ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC OVAR SPHRD CLL CUL 4 RX PNL TUM CHEMO RSPSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0324U","description":"ONC OVAR SPHRD CLL CUL 4 RX PNL TUM CHEMO RSPSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC OVAR SPHRD CLL CUL PARP INHIBITOR TUM RSPSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0325U","description":"ONC OVAR SPHRD CLL CUL PARP INHIBITOR TUM RSPSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PAN SOLID TUM ALYS DNA BMRK RSPSE ANTCA THER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0422U","description":"ONC PAN SOLID TUM ALYS DNA BMRK RSPSE ANTCA THER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PAN TUM GENETIC PRFLG 8 DNA QUAN PCR WHL BLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0332U","description":"ONC PAN TUM GENETIC PRFLG 8 DNA QUAN PCR WHL BLD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PAN TUM GENETIC PRFLG 8 DNA QUAN PCR WHL BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0332U","description":"ONC PAN TUM GENETIC PRFLG 8 DNA QUAN PCR WHL BLD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PAP THYR CA RNA SEQ 82CNT and 10HSKP GEN FNA ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0362U","description":"ONC PAP THYR CA RNA SEQ 82CNT and 10HSKP GEN FNA ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PLSM CLL DO and MYLOMA CRCG PLSM CLL IMMLG SLCTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0337U","description":"ONC PLSM CLL DO and MYLOMA CRCG PLSM CLL IMMLG SLCTN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PLSM CLL DO and MYLOMA CRCG PLSM CLL IMMLG SLCTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0337U","description":"ONC PLSM CLL DO and MYLOMA CRCG PLSM CLL IMMLG SLCTN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRIM FOCUS EXP MGMT EVIDENCE CA TX FUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9053","description":"ONC PRIM FOCUS EXP MGMT EVIDENCE CA TX FUTURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRIM FOCUS SURVEILLANCE RECUR TX FUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9052","description":"ONC PRIM FOCUS SURVEILLANCE RECUR TX FUTURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PROSTATE 5 DNA REG MRK QUAN PCR WHL BLD ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0433U","description":"ONC PROSTATE 5 DNA REG MRK QUAN PCR WHL BLD ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PROSTATE PROB SCORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0010M","description":"ONC PROSTATE PROB SCORE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 CA ALYS ALL PSA STRUCTURAL ISOFORMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0359U","description":"ONC PRST8 CA ALYS ALL PSA STRUCTURAL ISOFORMS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 CA FISH ALYS 4 GENES NDL BX SPEC ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0053U","description":"ONC PRST8 CA FISH ALYS 4 GENES NDL BX SPEC ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 XOME BASED ALYS 53 SNCRNA RT-QPCR UR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0424U","description":"ONC PRST8 XOME BASED ALYS 53 SNCRNA RT-QPCR UR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SLD ORG NEO MRNA 51 GENES ALG NML PCT  RANK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0057U","description":"ONC SLD ORG NEO MRNA 51 GENES ALG NML PCT  RANK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SLD ORGN NEO GENE REARGMT DNA FRSH FRZN TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0013U","description":"ONC SLD ORGN NEO GENE REARGMT DNA FRSH FRZN TISS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SLD ORGN TGSA FFPE TUM TISS DNA 84/ Plus  GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0334U","description":"ONC SLD ORGN TGSA FFPE TUM TISS DNA 84/ Plus  GEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SLD ORGN TGSA FFPE TUM TISS DNA 84/ Plus  GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0334U","description":"ONC SLD ORGN TGSA FFPE TUM TISS DNA 84/ Plus  GEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SLD TUM CRCG TUMOR CELL SELECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0338U","description":"ONC SLD TUM CRCG TUMOR CELL SELECTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC SLD TUM CRCG TUMOR CELL SELECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0338U","description":"ONC SLD TUM CRCG TUMOR CELL SELECTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC URTHL MRNA GEN XPRSN PRFLG RT QUAN PCR 5 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0363U","description":"ONC URTHL MRNA GEN XPRSN PRFLG RT QUAN PCR 5 GEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC URTHL MRNA GEN XPRSN PRFLG RT QUAN PCR 5 GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0363U","description":"ONC URTHL MRNA GEN XPRSN PRFLG RT QUAN PCR 5 GEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC URTHL MRNA XPRSN PRFL RT QUAN PCR DDPCR 6SNP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0420U","description":"ONC URTHL MRNA XPRSN PRFL RT QUAN PCR DDPCR 6SNP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC URTHL MRNA XPRSN PRFL RT QUAN PCR DDPCR 6SNP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0420U","description":"ONC URTHL MRNA XPRSN PRFL RT QUAN PCR DDPCR 6SNP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC UVEAL MLNMA MRNA GEN XPRS PRFL 15 GENE ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0081U","description":"ONC UVEAL MLNMA MRNA GEN XPRS PRFL 15 GENE ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; MGMT DIFFER PHYS DISAGREE GUIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9058","description":"ONC; PRAC GUIDE; MGMT DIFFER PHYS DISAGREE GUIDE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9057","description":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9061","description":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9060","description":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9056","description":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9062","description":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9059","description":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9051","description":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS VST; WRKUP EVAL/STAG@TM DX/RECUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9050","description":"ONC; PRIM FOCUS VST; WRKUP EVAL/STAG@TM DX/RECUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9055","description":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9054","description":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BREAST MRNA 58 ALGORITHM RISK SCORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0008M","description":"ONCOLOGY BREAST MRNA 58 ALGORITHM RISK SCORE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY LUNG ELISA 7 AUTOANTIBODIES PLASMA ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0360U","description":"ONCOLOGY LUNG ELISA 7 AUTOANTIBODIES PLASMA ALG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY THYROID GENE EXPRESSION 142 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81545","description":"ONCOLOGY THYROID GENE EXPRESSION 142 GENES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONDANSETRON HCL 8 MG, ORAL LESS THN EQ48 HR REGIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0179","description":"ONDANSETRON HCL 8 MG, ORAL LESS THN EQ48 HR REGIMEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONDANSETRON HYDROCHLORIDE, ORAL, 4 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0181","description":"ONDANSETRON HYDROCHLORIDE, ORAL, 4 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONDANSETRON ORAL 4 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0119","description":"ONDANSETRON ORAL 4 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONE HIGH-RISK MEDICATION NOT ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9366","description":"ONE HIGH-RISK MEDICATION NOT ORDERED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONE HIGH-RISK MEDICATION ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9365","description":"ONE HIGH-RISK MEDICATION ORDERED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONE OR MORE NEUROPSYCHIATRIC SYMPTOMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8947","description":"ONE OR MORE NEUROPSYCHIATRIC SYMPTOMS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGO CAR NO IND DC ONLY 1-2 VST D/T MED EVNT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1140","description":"ONGO CAR NO IND DC ONLY 1-2 VST D/T MED EVNT DOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGO CARE NO INDICAT PT SD EAR  AND  SN ONLY 1-2 VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1139","description":"ONGO CARE NO INDICAT PT SD EAR  AND  SN ONLY 1-2 VST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SEEN ONLY 1-2 VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1138","description":"ONGOING CARE NOT INDICATED PT SEEN ONLY 1-2 VST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING CARE NOT INDICATED PT SEEN ONLY 1-2 VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1144","description":"ONGOING CARE NOT INDICATED PT SEEN ONLY 1-2 VST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SUPPORT MAINTAIN EMPLOYMENT PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2025","description":"ONGOING SUPPORT MAINTAIN EMPLOYMENT PER 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONGOING SUPPORT TO MAINTAIN EMPLOYMENT PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2026","description":"ONGOING SUPPORT TO MAINTAIN EMPLOYMENT PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONSITE AC C TX NSG FAC RES COPD/AS BILL SID-BNEF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9681","description":"ONSITE AC C TX NSG FAC RES COPD/AS BILL SID-BNEF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONSITE AC C TX NSG FAC RES UTI  BILL SID-BENEF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9684","description":"ONSITE AC C TX NSG FAC RES UTI  BILL SID-BENEF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONSITE AC C TX NSG FAC RES W/CHF BILLD SID-BENEF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9680","description":"ONSITE AC C TX NSG FAC RES W/CHF BILLD SID-BENEF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONSITE AC C TX NSG FAC RES W/PNE BILLD SID-BENEF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9679","description":"ONSITE AC C TX NSG FAC RES W/PNE BILLD SID-BENEF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONSITE AC TX NSG FAC RES W/SKN INF BILL SID-BNEF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9682","description":"ONSITE AC TX NSG FAC RES W/SKN INF BILL SID-BNEF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONSITE NURS FAC CONF SEP  AND  DISTINCT FROM E  AND  M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9686","description":"ONSITE NURS FAC CONF SEP  AND  DISTINCT FROM E  AND  M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OOCYTE ID FROM FOLLICULAR FLU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89254","description":"OOCYTE ID FROM FOLLICULAR FLU","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OP IV INSULIN TX MEASURE RQ  and /UUN  and /GLU  and /K Pl","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9147","description":"OP IV INSULIN TX MEASURE RQ  and /UUN  and /GLU  and /K Pl","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OP REPORT IDENTIFIES PROSTHETIC IMPLANT SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9304","description":"OP REPORT IDENTIFIES PROSTHETIC IMPLANT SPEC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OP RPT DOES NOT ID PROS IMPL SPEC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9303","description":"OP RPT DOES NOT ID PROS IMPL SPEC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN BX/EXCISION DEEP CERV NODE INTRAOP ID SLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7503","description":"OPEN BX/EXCISION DEEP CERV NODE INTRAOP ID SLN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0817T","description":"OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0816T","description":"OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN ISLET CELL TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0586T","description":"OPEN ISLET CELL TRANSPLANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN REDUCTION OF DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7810","description":"OPEN REDUCTION OF DISLOCATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN THORACIC CATHETER DELIVD AORTIC HEART VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0257T","description":"OPEN THORACIC CATHETER DELIVD AORTIC HEART VALVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX 1-2 RIBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0245T","description":"OPEN TX RIB FX 1-2 RIBS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX 7 OR GRT  RIBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0248T","description":"OPEN TX RIB FX 7 OR GRT  RIBS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH DX IMAGING POST SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92135","description":"OPHTH DX IMAGING POST SEG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC DX IMAGE ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0187T","description":"OPHTHALMIC DX IMAGE ANTERIOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMOSCPY EXTENDED RETINAL DRAWING I AND R 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92225","description":"OPHTHALMOSCPY EXTENDED RETINAL DRAWING I AND R 1ST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMOSCPY EXTENDED RETINAL DRAWING I AND R SBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92226","description":"OPHTHALMOSCPY EXTENDED RETINAL DRAWING I AND R SBS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPIATE DRUG  AND  METABOLITES EA PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6056","description":"OPIATE DRUG  AND  METABOLITES EA PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN TX RIB FX 3-4 RIBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0246T","description":"OPN TX RIB FX 3-4 RIBS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN TX RIB FX 5-6 RIBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0247T","description":"OPN TX RIB FX 5-6 RIBS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTIMIZING CHRONIC DISEASE MGMNT MIPS VALUE PTHW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0056","description":"OPTIMIZING CHRONIC DISEASE MGMNT MIPS VALUE PTHW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTO-ACOU IMG BRST UNI IMG DOC ANLYS  and  RPT US EX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9788","description":"OPTO-ACOU IMG BRST UNI IMG DOC ANLYS  and  RPT US EX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTO-ACOUSTIC IMG BREAST UNI AUGMNT ALYS and REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0857T","description":"OPTO-ACOUSTIC IMG BREAST UNI AUGMNT ALYS and REPRT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTOKINETIC NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92534","description":"OPTOKINETIC NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 APPLIANCE THERAPY TITRATION VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9955","description":"ORAL APPLIANCE THERAPY TITRATION VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL ASP OTH NOT PRSC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8897","description":"ORAL ASP OTH NOT PRSC RSN NOT GVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL ASPIRIN OTH TX PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8895","description":"ORAL ASPIRIN OTH TX PRESCRIBED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL DEV/APPL RED U AW COL WO F MCH HNG CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1027","description":"ORAL DEV/APPL RED U AW COL WO F MCH HNG CSTM FAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL DEVICE/APPL NM ELEC STIM TONGUE MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1029","description":"ORAL DEVICE/APPL NM ELEC STIM TONGUE MUSCLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL DVC NM ELC STIM TONGUE MUSC PWR S and C ELC 90D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0493","description":"ORAL DVC NM ELC STIM TONGUE MUSC PWR S and C ELC 90D","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL EVEROLIMUS, 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8561","description":"ORAL EVEROLIMUS, 0.25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL HYGIENE INSTRUCTIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1330","description":"ORAL HYGIENE INSTRUCTIONS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL MEDICATION ADMIN DIRECT OBSERVATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0033","description":"ORAL MEDICATION ADMIN DIRECT OBSERVATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL MUCOADHESIVE ANY TYPE PER 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9156","description":"ORAL MUCOADHESIVE ANY TYPE PER 1 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL POLIOVIRUS VACCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90712","description":"ORAL POLIOVIRUS VACCINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL THERMOMETER REUSABLE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4931","description":"ORAL THERMOMETER REUSABLE ANY TYPE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL/FACIAL PHOTO IMAGE OBTAIN INTRA/EXTRAORLLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0350","description":"ORAL/FACIAL PHOTO IMAGE OBTAIN INTRA/EXTRAORLLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5915","description":"ORBITAL PROSTHESIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITAL PROSTHESIS REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5928","description":"ORBITAL PROSTHESIS REPLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORDER 1ST/2ND GEN CEPH AMP NOT DOC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9198","description":"ORDER 1ST/2ND GEN CEPH AMP NOT DOC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORDER ANTIMICROBIAL PROPH NOT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8200","description":"ORDER ANTIMICROBIAL PROPH NOT DOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORDER ANTIMICROBIAL PROPHYLASXIS NOT DOC RNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8529","description":"ORDER ANTIMICROBIAL PROPHYLASXIS NOT DOC RNS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORDR ANTIPLATELET AGT NOT DOC PT REC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9611","description":"ORDR ANTIPLATELET AGT NOT DOC PT REC RSN NOT GVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORION PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4276","description":"ORION PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORL DEVC/APPL RDUC UP AIRWAY COLLAPSIBILITY CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0486","description":"ORL DEVC/APPL RDUC UP AIRWAY COLLAPSIBILITY CSTM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORL DEVC/APPL RDUC UP ARWAY COLLAPSIBILITY PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0485","description":"ORL DEVC/APPL RDUC UP ARWAY COLLAPSIBILITY PRFAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHODONTIC RETENTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8680","description":"ORTHODONTIC RETENTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHODONTIC TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8690","description":"ORTHODONTIC TREATMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOP/DEV/DG MATRIX/ABSRB BONE VOID FIL AM-ELUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1602","description":"ORTHOP/DEV/DG MATRIX/ABSRB BONE VOID FIL AM-ELUT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED FOOTWEAR MENS SHOE HITOP DEPTH INLAY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3222","description":"ORTHOPED FOOTWEAR MENS SHOE HITOP DEPTH INLAY EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED FTWEAR CSTM MOLD REMV INNR MOLD PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3250","description":"ORTHOPED FTWEAR CSTM MOLD REMV INNR MOLD PROSTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED FTWEAR LADIES SHOE HITOP DEPTH INLAY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3217","description":"ORTHOPED FTWEAR LADIES SHOE HITOP DEPTH INLAY EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR CHILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3206","description":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR CHILD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR INFNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3204","description":"ORTHOPED SHOE HIGHTOP W/SUPINATOR/PRONATOR INFNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE MODIFICATION ADDITION/TRANSFER NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3649","description":"ORTHOPED SHOE MODIFICATION ADDITION/TRANSFER NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR CHILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3202","description":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR CHILD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR INFNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3201","description":"ORTHOPED SHOE OXFORD W/SUPINATOR/PRONATOR INFNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR ADDITIONAL CHARGE SPLIT SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3257","description":"ORTHOPEDIC FOOTWEAR ADDITIONAL CHARGE SPLIT SIZE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR CUSTOM SHOE DEPTH INLAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3230","description":"ORTHOPEDIC FOOTWEAR CUSTOM SHOE DEPTH INLAY EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR LADIES SHOE DEPTH INLAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3216","description":"ORTHOPEDIC FOOTWEAR LADIES SHOE DEPTH INLAY EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC FOOTWEAR MENS SHOE DEPTH INLAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3221","description":"ORTHOPEDIC FOOTWEAR MENS SHOE DEPTH INLAY EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE HIGHTOP W/SUPINATOR/PRONATOR JR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3207","description":"ORTHOPEDIC SHOE HIGHTOP W/SUPINATOR/PRONATOR JR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC SHOE OXFORD W/SUPINATOR/PRONATOR JR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3203","description":"ORTHOPEDIC SHOE OXFORD W/SUPINATOR/PRONATOR JR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPEDIC/DEVC/DX MATRIX OPP BTB/SFT TISS-TO BN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1734","description":"ORTHOPEDIC/DEVC/DX MATRIX OPP BTB/SFT TISS-TO BN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSELTAMIVIR PHOSPHATE ORAL BRAND PER 75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9035","description":"OSELTAMIVIR PHOSPHATE ORAL BRAND PER 75 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSELTAMIVIR PHOSPHATE ORAL PER 75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9019","description":"OSELTAMIVIR PHOSPHATE ORAL PER 75 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPROSIS PT DOC RX CA AND VIT D SUPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8099","description":"OSTEOPROSIS PT DOC RX CA AND VIT D SUPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY PERIACETABULAR WITH INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2115","description":"OSTEOTOMY PERIACETABULAR WITH INTERNAL FIXATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOS; USE BARRIER W/LOCK FLNGE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4420","description":"OSTOMY POUCH CLOS; USE BARRIER W/LOCK FLNGE EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SUPPLY; MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4421","description":"OSTOMY SUPPLY; MISCELLANEOUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OT EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97003","description":"OT EVALUATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OT RE-EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97004","description":"OT RE-EVALUATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTH PHYS OCC TX PRIM FCN LIM GOAL TX REP INT D C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8991","description":"OTH PHYS OCC TX PRIM FCN LIM GOAL TX REP INT D C","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTH PHYS OCCUP TX PRIM FCN LIM D C TX END REP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8992","description":"OTH PHYS OCCUP TX PRIM FCN LIM D C TX END REP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTH PHYS OCCUP TX PRIM FCN LIM OUTSET REP INTRVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8990","description":"OTH PHYS OCCUP TX PRIM FCN LIM OUTSET REP INTRVL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTH PHYS OCCUP TX SUB FCN LIM CUR TX REP INTRVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8993","description":"OTH PHYS OCCUP TX SUB FCN LIM CUR TX REP INTRVL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTH PHYS OCCUP TX SUB FCN LIM GOAL TX EPIS OUTST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8994","description":"OTH PHYS OCCUP TX SUB FCN LIM GOAL TX EPIS OUTST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTH PHYS OCCUP TX SUB FCN LMT D C STS D C TX REP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8995","description":"OTH PHYS OCCUP TX SUB FCN LMT D C STS D C TX REP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTH SPEECH LANG FUNCT LIMIT CURR STATUS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9174","description":"OTH SPEECH LANG FUNCT LIMIT CURR STATUS TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTH SPEECH LANG FUNCT LIMIT D C STATUS D C TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9176","description":"OTH SPEECH LANG FUNCT LIMIT D C STATUS D C TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTH SPEECH LANG FUNCT LIMIT PROJ GOAL STATUS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9175","description":"OTH SPEECH LANG FUNCT LIMIT PROJ GOAL STATUS TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER ACCESSORIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0108","description":"OTHER ACCESSORIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MOTORIZED/POWER WHEELCHAIR BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0014","description":"OTHER MOTORIZED/POWER WHEELCHAIR BASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER ORAL PATHOLOGY PROCEDURES BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0502","description":"OTHER ORAL PATHOLOGY PROCEDURES BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER TMJ RADIOGRAPHIC IMAGES BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0321","description":"OTHER TMJ RADIOGRAPHIC IMAGES BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVER-BED TABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0274","description":"OVER-BED TABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVERDENTURE - COMPLETE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5860","description":"OVERDENTURE - COMPLETE BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVERDENTURE - PARTIAL BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5861","description":"OVERDENTURE - PARTIAL BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVERSIGHT CARE OF XTRCORP LIVER ASSIST SYS PAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0405T","description":"OVERSIGHT CARE OF XTRCORP LIVER ASSIST SYS PAT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0445","description":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN ACC FLOW REG CPBL POS INSPIRATORY PRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1352","description":"OXYGEN ACC FLOW REG CPBL POS INSPIRATORY PRESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN CONTENTS LIQUID 1 UNIT EQUALS 1 POUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8121","description":"OXYGEN CONTENTS LIQUID 1 UNIT EQUALS 1 POUND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4606","description":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN TENT EXCLUDING CROUP OR PEDIATRIC TENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0455","description":"OXYGEN TENT EXCLUDING CROUP OR PEDIATRIC TENTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"P ABX NOT CMPL INFUS PRIOR INFLAT TQ RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9302","description":"P ABX NOT CMPL INFUS PRIOR INFLAT TQ RSN NOT GVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"P2Y INHIBITOR NOT PRSC AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9440","description":"P2Y INHIBITOR NOT PRSC AT DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"P2Y INHIBITOR NOT PRSC DOC REASONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9439","description":"P2Y INHIBITOR NOT PRSC DOC REASONS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"P2Y INHIBITOR PRSC AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9438","description":"P2Y INHIBITOR PRSC AT DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PA DOC POS F/U PL NOT DOC DOC PT NOT ELIG TM ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8939","description":"PA DOC POS F/U PL NOT DOC DOC PT NOT ELIG TM ENC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PA NOT DOC PERF DOC PT NOT ELIG PA TIME OF ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8442","description":"PA NOT DOC PERF DOC PT NOT ELIG PA TIME OF ENC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PACEMAKER DUAL CHAMBER NON RATE-RESPONSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2619","description":"PACEMAKER DUAL CHAMBER NON RATE-RESPONSIVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PACEMAKER DUAL CHAMBER RATE-RESPONSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1785","description":"PACEMAKER DUAL CHAMBER RATE-RESPONSIVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PACEMAKER OTHER THAN SINGLE OR DUAL CHAMBER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2621","description":"PACEMAKER OTHER THAN SINGLE OR DUAL CHAMBER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PACEMAKER SINGLE CHAMBER NON RATE-RESPONSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2620","description":"PACEMAKER SINGLE CHAMBER NON RATE-RESPONSIVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PACEMAKER SINGLE CHAMBER RATE-RESPONSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1786","description":"PACEMAKER SINGLE CHAMBER RATE-RESPONSIVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PADDING FOR COMPRESSION BANDAGE ROLL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8430","description":"PADDING FOR COMPRESSION BANDAGE ROLL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN ASMT STDIZ TOOL DOC NEG NO F/U PLAN IS RQR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8731","description":"PAIN ASMT STDIZ TOOL DOC NEG NO F/U PLAN IS RQR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN ASSESS DOC POS USING STANDARD TOOL F/U PLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8730","description":"PAIN ASSESS DOC POS USING STANDARD TOOL F/U PLAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN ASSESSMENT DOCUMENTED PRIOT TO TX  AND  F U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8440","description":"PAIN ASSESSMENT DOCUMENTED PRIOT TO TX  AND  F U","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAIN SCREENED AS MODERATE TO SEVERE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1000","description":"PAIN SCREENED AS MODERATE TO SEVERE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"G8512","description":"PAIN SEVERITY QUANTIFIED PAIN PRESENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATAL AUGMENTATION PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5954","description":"PALATAL AUGMENTATION PROSTHESIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATAL LIFT PROSTHESIS DEFINITIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5955","description":"PALATAL LIFT PROSTHESIS DEFINITIVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATAL LIFT PROSTHESIS INTERIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5958","description":"PALATAL LIFT PROSTHESIS INTERIM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATAL LIFT PROSTHESIS MODIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5959","description":"PALATAL LIFT PROSTHESIS MODIFICATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALIVIZUMAB-RSV-IGM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9003","description":"PALIVIZUMAB-RSV-IGM PER 50 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALLIATIVE TREATMENT OF DENTAL PAIN - PER VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9110","description":"PALLIATIVE TREATMENT OF DENTAL PAIN - PER VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAMG-1 RAPID IMMUNOASSAY FOR ROM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3628","description":"PAMG-1 RAPID IMMUNOASSAY FOR ROM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATECTOMY W/TRNSPLJ PANCREAS/ISLET CELLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48160","description":"PANCREATECTOMY W/TRNSPLJ PANCREAS/ISLET CELLS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PANORAMIC RADIOGRAPHIC IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0330","description":"PANORAMIC RADIOGRAPHIC IMAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PANORAMIC RADIOGRAPHIC IMAGE - IMAGE CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0701","description":"PANORAMIC RADIOGRAPHIC IMAGE - IMAGE CAP ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAPER CHROMATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82487","description":"PAPER CHROMATOGRAPHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAPER CHROMATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82488","description":"PAPER CHROMATOGRAPHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARACENTSIS ANT CHAM EYE W THER REL AQUEOUS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65805","description":"PARACENTSIS ANT CHAM EYE W THER REL AQUEOUS SPX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAMED INTRCPT RURL AMB NO BILL 3 PARTY PAYER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0432","description":"PARAMED INTRCPT RURL AMB NO BILL 3 PARTY PAYER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAMEDIC INTERCEPT NON-HOS-BASED ALS SRVC NON-T","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0207","description":"PARAMEDIC INTERCEPT NON-HOS-BASED ALS SRVC NON-T","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAMEDIC INTERCPT HOS-BASE ALS SRVC NON-TRNSPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0208","description":"PARAMEDIC INTERCPT HOS-BASE ALS SRVC NON-TRNSPRT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARANASAL SINUS ULTRASOUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9024","description":"PARANASAL SINUS ULTRASOUND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARENTING CLASSES NON-PHYSICIAN PER SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9444","description":"PARENTING CLASSES NON-PHYSICIAN PER SESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARNTRAL NUT SOL AMINO ACID AND CARB STRSS-BR CHAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B5200","description":"PARNTRAL NUT SOL AMINO ACID AND CARB STRSS-BR CHAIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DIVERSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42508","description":"PAROTID DUCT DIVERSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PART HND F and THMB PROS AMP MCP NO INSRT DESC L6692","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6028","description":"PART HND F and THMB PROS AMP MCP NO INSRT DESC L6692","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HOSPITALIZATION SERVICES LT  24 HR PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0201","description":"PARTIAL HOSPITALIZATION SERVICES LT  24 HR PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL REMOVAL OF HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23221","description":"PARTIAL REMOVAL OF HUMERUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL REMOVAL OF HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23222","description":"PARTIAL REMOVAL OF HUMERUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTICIPATN PHYS OTH CLIN IN SYS CLIN DB RGSTRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8533","description":"PARTICIPATN PHYS OTH CLIN IN SYS CLIN DB RGSTRY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PASRR LEVEL II EVALUATION PER EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2011","description":"PASRR LEVEL II EVALUATION PER EVALUATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PASS INTESTINE BLEEDING TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91100","description":"PASS INTESTINE BLEEDING TUBE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATCH CLOSURE CONVENTIONAL CEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8524","description":"PATCH CLOSURE CONVENTIONAL CEA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOGEN TEST FOR PLATELETS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9100","description":"PATHOGEN TEST FOR PLATELETS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOGEN TEST FOR PLATELETS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9987","description":"PATHOGEN TEST FOR PLATELETS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ACHIEVED PDC AL 75 PCT  FOR ASTHMA CONTR MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9810","description":"PATIENT ACHIEVED PDC AL 75 PCT  FOR ASTHMA CONTR MED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 TO ICU IN THE LAST 30 DAYS OF LIFE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9853","description":"PATIENT ADM TO ICU IN THE LAST 30 DAYS OF LIFE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ADMITTED TO HOSPICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9857","description":"PATIENT ADMITTED TO HOSPICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT ADMITTED TO PALLIATIVE CARE SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1017","description":"PATIENT ADMITTED TO PALLIATIVE CARE SERVICES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT D/C HOME NO LATER THAN POST-OP DAY #7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9601","description":"PATIENT D/C HOME NO LATER THAN POST-OP DAY #7","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT D/C TO HOME NO LATER THAN POSTOP DAY #7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8818","description":"PATIENT D/C TO HOME NO LATER THAN POSTOP DAY #7","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOC ADMINISTERED OR CONSIDERED T-PA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8229","description":"PATIENT DOC ADMINISTERED OR CONSIDERED T-PA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8910","description":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8908","description":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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  GT 1 ED VST IN THE LST 30 DAYS OF LIFE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9850","description":"PATIENT HAD  GT 1 ED VST IN THE LST 30 DAYS OF LIFE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HAD 1 OR LT  ED VST IN THE LAST 30 DA OF LIFE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9851","description":"PATIENT HAD 1 OR LT  ED VST IN THE LAST 30 DA OF LIFE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 ADD SP PROC PERF SD L DSKC/LAMINOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1071","description":"PATIENT HAD ADD SP PROC PERF SD L DSKC/LAMINOT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":"G9834","description":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT HOSPITALIZED WITH HEART FAILURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8681","description":"PATIENT HOSPITALIZED WITH HEART FAILURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IMMUNOCOMPROMISED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1062","description":"PATIENT IMMUNOCOMPROMISED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT INELIGIBLE COUNSEL NO ANTVIRAL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8462","description":"PATIENT INELIGIBLE COUNSEL NO ANTVIRAL TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT INELIGIBLE ELDER MALTREAT SCREEN NO F U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8537","description":"PATIENT INELIGIBLE ELDER MALTREAT SCREEN NO F U","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT INELIGIBLE; PAIN ASSES NO FOLLOW UP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8508","description":"PATIENT INELIGIBLE; PAIN ASSES NO FOLLOW UP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 ELIG E.G. GYN/OTH PELV MALIG DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9632","description":"PATIENT IS NOT ELIG E.G. GYN/OTH PELV MALIG DOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 UNDERGOING PALLIATIVE DIALYSIS W/CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9747","description":"PATIENT IS UNDERGOING PALLIATIVE DIALYSIS W/CATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT IS UNDERGOING PALLIATIVE DIALYSIS W/CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9749","description":"PATIENT IS UNDERGOING PALLIATIVE DIALYSIS W/CATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT LIFT BATHROOM OR TOILET NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0625","description":"PATIENT LIFT BATHROOM OR TOILET NOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 ACHV PDC AL 75 PCT  ASTHMA CONTROL MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9811","description":"PATIENT NOT ACHV PDC AL 75 PCT  ASTHMA CONTROL MED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 BY POST-OPERATIVE DAY #7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9602","description":"PATIENT NOT D/C HOME BY POST-OPERATIVE DAY #7","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 DISCHARGED TO HOME BY POSTOP DAY #7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8825","description":"PATIENT NOT DISCHARGED TO HOME BY POSTOP DAY #7","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT DOCUMENTED HAVE HAD ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8351","description":"PATIENT NOT DOCUMENTED HAVE HAD ECG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT DOCUMENTED HAVE HAD ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8357","description":"PATIENT NOT DOCUMENTED HAVE HAD ECG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 FOLLOWUP CTA, DUPLEX, MRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8812","description":"PATIENT NOT ELIGIBLE FOLLOWUP CTA, DUPLEX, MRA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIGIBLE TO RECEIVE FLU IMMUNIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8637","description":"PATIENT NOT ELIGIBLE TO RECEIVE FLU IMMUNIZATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT ELIGIBLE TO RECEIVE FLU IMMUNIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8640","description":"PATIENT NOT ELIGIBLE TO RECEIVE FLU IMMUNIZATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT HOSPITALIZED WITH HEART FAILURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8684","description":"PATIENT NOT HOSPITALIZED WITH HEART FAILURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8563","description":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8568","description":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT SCR UTERINE MALIG/NO U/S RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9620","description":"PATIENT NOT SCR UTERINE MALIG/NO U/S RSN NOT GVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 TREATED FOR ATTENTION DISORDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8742","description":"PATIENT NOT TREATED FOR ATTENTION DISORDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT TREATED FOR MEMORY DISORDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8743","description":"PATIENT NOT TREATED FOR MEMORY DISORDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT TREATED FOR MOTOR SPEECH DISORDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8744","description":"PATIENT NOT TREATED FOR MOTOR SPEECH DISORDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT TREATED FOR READING DISORDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8745","description":"PATIENT NOT TREATED FOR READING DISORDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT TREATED FOR SWALLOWING DISORDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8748","description":"PATIENT NOT TREATED FOR SWALLOWING DISORDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT NOT TREATED FOR WRITING DISORDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8747","description":"PATIENT NOT TREATED FOR WRITING DISORDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PREGNANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1061","description":"PATIENT PREGNANCY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT PROGPATIENT PROGRAMMER NEUROSTIMULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1787","description":"PATIENT PROGPATIENT PROGRAMMER NEUROSTIMULATOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REASON NOT GREATER OR EQUAL 1.2KT V","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8716","description":"PATIENT REASON NOT GREATER OR EQUAL 1.2KT V","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVE ANTIVIRAL TREATMENT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8463","description":"PATIENT RECEIVE ANTIVIRAL TREATMENT DOCUMENTED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 ONE-TIME SCR FOR HCV INFECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9451","description":"PATIENT RECEIVED ONE-TIME SCR FOR HCV INFECTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT RECEIVING ACE INHIBITOR/ARB THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8506","description":"PATIENT RECEIVING ACE INHIBITOR/ARB THERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFERRED TO PHYSICIAN FOR OTOLOGIC EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8559","description":"PATIENT REFERRED TO PHYSICIAN FOR OTOLOGIC EVAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT REFUSED PARTICIPATE ADMISSION  and / D/C;","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2166","description":"PATIENT REFUSED PARTICIPATE ADMISSION  and / D/C;","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":"G9738","description":"PATIENT REFUSED TO PARTICIPATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT TAKING TAMSULOSIN HYDROCHLORIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9503","description":"PATIENT TAKING TAMSULOSIN HYDROCHLORIDE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT TRANS TO PRACTICE AFTER INITIATION CHEMO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9826","description":"PATIENT TRANS TO PRACTICE AFTER INITIATION CHEMO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT TRANSFER TO PRACTICE AFTER INI CHEMO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9833","description":"PATIENT TRANSFER TO PRACTICE AFTER INI CHEMO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT VISIT DOCUMENTED USING CCHIT CERT EMR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8447","description":"PATIENT VISIT DOCUMENTED USING CCHIT CERT EMR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT VISIT DOCUMENTED W NON-CCHIT CERT EMR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8448","description":"PATIENT VISIT DOCUMENTED W NON-CCHIT CERT EMR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT W  NORMAL LVEF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8470","description":"PATIENT W  NORMAL LVEF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT W ABN LVEF INELIGIBLE ACE ARB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8469","description":"PATIENT W ABN LVEF INELIGIBLE ACE ARB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 NOT ADM TO ICU IN LAST 30 DA OF LIFE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9854","description":"PATIENT WAS NOT ADM TO ICU IN LAST 30 DA OF LIFE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WAS NOT ADMITTED TO HOSPICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9856","description":"PATIENT WAS NOT ADMITTED TO HOSPICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT WAS NOT AN ELIG FOR PRE-SURG FUNDUS EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8327","description":"PATIENT WAS NOT AN ELIG FOR PRE-SURG FUNDUS EVAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 REFERRED TO HOSPICE CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9524","description":"PATIENT WAS REFERRED TO HOSPICE CARE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 81 YEARS AND OLDER WITH A DX FRAILTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2131","description":"PATIENTS 81 YEARS AND OLDER WITH A DX FRAILTY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HOSPICE AT ANY TIME DUR PERF PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1022","description":"PATIENTS IN HOSPICE AT ANY TIME DUR PERF PRD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS IN HOSPICE AT ANY TIME DUR PERF PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1025","description":"PATIENTS IN HOSPICE AT ANY TIME DUR PERF PRD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS IN HOSPICE AT ANY TIME DUR PERF PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1026","description":"PATIENTS IN HOSPICE AT ANY TIME DUR PERF PRD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS MED DISPENSING EVENT INDICATR HX ASTHMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9799","description":"PATIENTS MED DISPENSING EVENT INDICATR HX ASTHMA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS MRS SCORE NOT OBTAINED 90 DAY FOLLOW-UP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9647","description":"PATIENTS MRS SCORE NOT OBTAINED 90 DAY FOLLOW-UP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS NO CLINICAL INDIC FOR IMAGING OF HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1031","description":"PATIENTS NO CLINICAL INDIC FOR IMAGING OF HEAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PRESCRIBED OPIATES FOR LNGR THAN 6 WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9577","description":"PATIENTS PRESCRIBED OPIATES FOR LNGR THAN 6 WKS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS PRESCRIBED OPIATES FOR LNGR THAN 6 WKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9583","description":"PATIENTS PRESCRIBED OPIATES FOR LNGR THAN 6 WKS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS PRSC OPIATES FOR LONGER THAN 6 WEEKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9561","description":"PATIENTS PRSC OPIATES FOR LONGER THAN 6 WEEKS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS RECEIVING HIGH DOSES OF IS THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1063","description":"PATIENTS RECEIVING HIGH DOSES OF IS THERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 USE HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9802","description":"PATIENTS USE HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS USE HOSPICE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9809","description":"PATIENTS USE HOSPICE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 CLIN INDICATIONS FOR IMAGING OF HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1030","description":"PATIENTS W CLIN INDICATIONS FOR IMAGING OF HEAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS W POS HEP C ANTIBODY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9202","description":"PATIENTS W POS HEP C ANTIBODY TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ID HAV INTOLERNCE/ALLERGY BB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9800","description":"PATIENTS WHO ARE ID HAV INTOLERNCE/ALLERGY BB TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"G9849","description":"PATIENTS WHO DIED FROM CANCER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"G9852","description":"PATIENTS WHO DIED FROM CANCER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"G9855","description":"PATIENTS WHO DIED FROM CANCER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENTS WHO HAVE A DIAGNOSIS OF PREG DUR MSMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9778","description":"PATIENTS WHO HAVE A DIAGNOSIS OF PREG DUR MSMNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HAD A HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9774","description":"PATIENTS WHO HAVE HAD A HYSTERECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HOSPCE SRVC ANY TIME DUR MSR PR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9725","description":"PATIENTS WHO USE HOSPCE SRVC ANY TIME DUR MSR PR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"G9715","description":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WERE BORN IN THE YEARS 1945 TO 1965","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9448","description":"PATIENTS WHO WERE BORN IN THE YEARS 1945 TO 1965","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NORMAL NEUROLOGICAL EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9535","description":"PATIENTS WITH A NORMAL NEUROLOGICAL EXAMINATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAYMENT TH DSNT SITE SRVC FURN RHC/FQHC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2025","description":"PAYMENT TH DSNT SITE SRVC FURN RHC/FQHC ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PC BREAST BX USING MR GUID PLCMT BREAST LOC DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7502","description":"PC BREAST BX USING MR GUID PLCMT BREAST LOC DEV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PC TL COR ATHERECT W/RX ELUT IC STENT; 1 MCA/BR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9602","description":"PC TL COR ATHERECT W/RX ELUT IC STENT; 1 MCA/BR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PC TL REV CHRN TOT OCCL CA CA BR/CABG; 1 VES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9607","description":"PC TL REV CHRN TOT OCCL CA CA BR/CABG; 1 VES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PC TL REV CHRN TOT OCCL; EA ADD CA CA BR/BP GFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9608","description":"PC TL REV CHRN TOT OCCL; EA ADD CA CA BR/BP GFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PC TL REV OF/THRU CABG COMB DE IC STNT; 1 VES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9604","description":"PC TL REV OF/THRU CABG COMB DE IC STNT; 1 VES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PC TL REV OF/THRU CABG; EA ADD BR SUBTEND BP GFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9605","description":"PC TL REV OF/THRU CABG; EA ADD BR SUBTEND BP GFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PC TRNSCTH PLCMT RX ELUT IC STENTS; 1 MAJ CA/BR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9600","description":"PC TRNSCTH PLCMT RX ELUT IC STENTS; 1 MAJ CA/BR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PC TRNSCTH PLCMT RX-ELUT IC STNT;EA ADD BR MCA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9601","description":"PC TRNSCTH PLCMT RX-ELUT IC STNT;EA ADD BR MCA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCP NOT PRSC 3 MO CD4 PLUS   UNDER  200 NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9217","description":"PCP NOT PRSC 3 MO CD4 PLUS   UNDER  200 NO RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCP NOT PRSC 3 MO CD4 PLUS   UNDER  500 NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9218","description":"PCP NOT PRSC 3 MO CD4 PLUS   UNDER  500 NO RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCP NOT PRSC 3 MO CD4 PLUS   UNDER 200 MED RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9219","description":"PCP NOT PRSC 3 MO CD4 PLUS   UNDER 200 MED RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCP NOT PRSC 3 MO CD4 PLUS   UNDER 500 PCT   UNDER 15PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9220","description":"PCP NOT PRSC 3 MO CD4 PLUS   UNDER 500 PCT   UNDER 15PCT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PROPH NOT PRSC DX HIV NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9216","description":"PCP PROPH NOT PRSC DX HIV NO RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCP PROPHLAXIS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9221","description":"PCP PROPHLAXIS PRESCRIBED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCP PRSC 3 MO L CD4 PLUS  CC  UNDER 200 CC MM3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9222","description":"PCP PRSC 3 MO L CD4 PLUS  CC  UNDER 200 CC MM3","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PCV7 VACCINE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90669","description":"PCV7 VACCINE IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEAK EXPIRATORY FLOW RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8110","description":"PEAK EXPIRATORY FLOW RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEANUT ALLG SPEC ASMT MLT EPI ELISA BLD PROB ALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0165U","description":"PEANUT ALLG SPEC ASMT MLT EPI ELISA BLD PROB ALL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED CRIT CARE TRANSPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99289","description":"PED CRIT CARE TRANSPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED CRIT CARE TRANSPORT ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99290","description":"PED CRIT CARE TRANSPORT ADDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED CRITICAL CARE, INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99293","description":"PED CRITICAL CARE, INITIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED CRITICAL CARE, SUBSEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99294","description":"PED CRITICAL CARE, SUBSEQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED FEBRILE ILNES KAWASAKI DS IFI27 and MCEP1 RNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0389U","description":"PED FEBRILE ILNES KAWASAKI DS IFI27 and MCEP1 RNA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PED PT HEAD CT TRAUMA ORD OTH ECP OR REAS OTH TR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9596","description":"PED PT HEAD CT TRAUMA ORD OTH ECP OR REAS OTH TR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 ATTACHMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94775","description":"PEDIATRIC HOME APNEA MNTR ATTACHMENT ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC HOME APNEA MNTR EVENT RECORDING PR 30D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94774","description":"PEDIATRIC HOME APNEA MNTR EVENT RECORDING PR 30D","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9597","description":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIMETRY W/WOPLACENTAL LOCALIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74710","description":"PELVIMETRY W/WOPLACENTAL LOCALIZATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE ISETHIONATE I SOL CP PROD U D 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7676","description":"PENTAMIDINE ISETHIONATE I SOL CP PROD U D 300 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUT KYPHOPLASTY ADD-ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22525","description":"PERCUT KYPHOPLASTY ADD-ON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUT KYPHOPLASTY LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22524","description":"PERCUT KYPHOPLASTY LUMBAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUT KYPHOPLASTY THOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22523","description":"PERCUT KYPHOPLASTY THOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUT LUMBAR LAMINOTOMY ECTOMY, UNILAT BILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9729","description":"PERCUT LUMBAR LAMINOTOMY ECTOMY, UNILAT BILAT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUT THROMBECT AV FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36870","description":"PERCUT THROMBECT AV FISTULA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUT VERTEBROPLASTY ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22522","description":"PERCUT VERTEBROPLASTY ADDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUT VERTEBROPLASTY LUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22521","description":"PERCUT VERTEBROPLASTY LUMB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUT VERTEBROPLASTY THOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22520","description":"PERCUT VERTEBROPLASTY THOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS ISLET CELL TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0584T","description":"PERCUTANEOUS ISLET CELL TRANSPLANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0715T","description":"PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 MSR EVAL PT SELF ASSESS DEPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3005","description":"PERFORMANCE MSR EVAL PT SELF ASSESS DEPRESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERI-PROC DEVICE EVAL IN PERS LEADLESS PM SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0390T","description":"PERI-PROC DEVICE EVAL IN PERS LEADLESS PM SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERICARDIOCENTESIS INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33010","description":"PERICARDIOCENTESIS INITIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERICARDIOCENTESIS SUBSEQUENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33011","description":"PERICARDIOCENTESIS SUBSEQUENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIO MEDICAMNT CARR PERIPH SEAL - LAB PROCD-MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5995","description":"PERIO MEDICAMNT CARR PERIPH SEAL - LAB PROCD-MAX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIO MEDICAMNT CARR PERIPH SL - LAB PROCD-MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5996","description":"PERIO MEDICAMNT CARR PERIPH SL - LAB PROCD-MAND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC ORTHODONTIC TREATMENT VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8670","description":"PERIODIC ORTHODONTIC TREATMENT VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"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":"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":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODONTAL MED CARR PERIPH SEAL LAB PROCESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5994","description":"PERIODONTAL MED CARR PERIPH SEAL LAB PROCESSED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPH FIELD STIMUL ANALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0285T","description":"PERIPH FIELD STIMUL ANALYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPH FIELD STIMUL PERM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0283T","description":"PERIPH FIELD STIMUL PERM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPH FIELD STIMUL REVISE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0284T","description":"PERIPH FIELD STIMUL REVISE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPH FIELD STIMUL TRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0282T","description":"PERIPH FIELD STIMUL TRIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPHERAL NERVE BLOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9770","description":"PERIPHERAL NERVE BLOCK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPHERAL THERMOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93762","description":"PERIPHERAL THERMOGRAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPROCEDURAL DEVICE EVALUATION IN PERSON ISDSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0684T","description":"PERIPROCEDURAL DEVICE EVALUATION IN PERSON ISDSS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIRADICULAR SURGERY WITHOUT APICOECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3427","description":"PERIRADICULAR SURGERY WITHOUT APICOECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITON DIALYSIS CATHETER ANCHR DEVICE BELT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4653","description":"PERITON DIALYSIS CATHETER ANCHR DEVICE BELT EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL DIALYSIS CLAMPS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1634","description":"PERITONEAL DIALYSIS CLAMPS EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV ADJMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53454","description":"PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV ADJMT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV BI INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53451","description":"PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV BI INSJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV RMVL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53453","description":"PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV RMVL EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIURETHRL TPRNL ADJTBL BALO CNTNC DEV UNI INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53452","description":"PERIURETHRL TPRNL ADJTBL BALO CNTNC DEV UNI INSJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERM LONG-TERM NONDISSOLVABLE LAC DUCT IMPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4263","description":"PERM LONG-TERM NONDISSOLVABLE LAC DUCT IMPL EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERMEADERM GLOVE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A2017","description":"PERMEADERM GLOVE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERPHENAZINE 8 MG, ORAL, NOT TO EXCEED 48H RG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0176","description":"PERPHENAZINE 8 MG, ORAL, NOT TO EXCEED 48H RG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERPHENZAINE 4 MG ORAL NOT  GT 48 HR DOSE REGIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0175","description":"PERPHENZAINE 4 MG ORAL NOT  GT 48 HR DOSE REGIMEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BALO DILA IC VSPSM EA VSL DIFF VASC TER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61642","description":"PERQ BALO DILA IC VSPSM EA VSL DIFF VASC TER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BALO DILA IC VSPSM EA VSL SM VASC TER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61641","description":"PERQ BALO DILA IC VSPSM EA VSL SM VASC TER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST BX USING ST GUID PLCMT BRST LOC DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7501","description":"PERQ BREAST BX USING ST GUID PLCMT BRST LOC DEV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ CRYOABLATE RENAL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0135T","description":"PERQ CRYOABLATE RENAL TUMOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ EXCH BD CATH W/REM CALCULI/DEB FROM BD and /GB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7545","description":"PERQ EXCH BD CATH W/REM CALCULI/DEB FROM BD and /GB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ IMPLTJ/RPLCMT ISDNS BLDR DYSF PTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0587T","description":"PERQ IMPLTJ/RPLCMT ISDNS BLDR DYSF PTN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22527","description":"PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ LAMOT/LAM DCMPRN NEURAL ELEMENTS CRV/THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0274T","description":"PERQ LAMOT/LAM DCMPRN NEURAL ELEMENTS CRV/THRC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NJX ALGC CELL  and /PRDCT UNI/BI FLUOR LMBR 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0627T","description":"PERQ NJX ALGC CELL  and /PRDCT UNI/BI FLUOR LMBR 1ST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NJX ALGC CELL  and /PRDCT UNI/BI FLUOR LMBR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0628T","description":"PERQ NJX ALGC CELL  and /PRDCT UNI/BI FLUOR LMBR EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NJX ALGC CELL and /PRDCT UNI/BI CT LMBR 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0629T","description":"PERQ NJX ALGC CELL and /PRDCT UNI/BI CT LMBR 1ST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NJX ALGC CELL and /PRDCT UNI/BI CT LMBR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0630T","description":"PERQ NJX ALGC CELL and /PRDCT UNI/BI CT LMBR EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NJX CALCIUM BIOD OSTEOCONDUCTIVE MATRL FEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0814T","description":"PERQ NJX CALCIUM BIOD OSTEOCONDUCTIVE MATRL FEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2 OR GT  NDLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0201T","description":"PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2 OR GT  NDLS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1 OR GT  NDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0200T","description":"PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1 OR GT  NDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ STABLJ SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0334T","description":"PERQ STABLJ SACROILIAC JOINT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT THER RX DLVR NTRAC RX BALO 1 MAJ C ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0913T","description":"PERQ TCAT THER RX DLVR NTRAC RX BALO 1 MAJ C ART","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT THRM ABLTJ NERVES INNERVATING P-ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0793T","description":"PERQ TCAT THRM ABLTJ NERVES INNERVATING P-ART","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TCAT US ABLATION NERVES INNERVATING P-ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0632T","description":"PERQ TCAT US ABLATION NERVES INNERVATING P-ART","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TL COR ANGIOPLASTY SINGLE MAJOR COR ART/BR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7533","description":"PERQ TL COR ANGIOPLASTY SINGLE MAJOR COR ART/BR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TL COR ATHERECT; EA ADD BR MAJ CORONARY ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9603","description":"PERQ TL COR ATHERECT; EA ADD BR MAJ CORONARY ART","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TL REV AC TOTAL/SUBTOTAL OCCLUSION 1 VES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9606","description":"PERQ TL REV AC TOTAL/SUBTOTAL OCCLUSION 1 VES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TSTS SEQL AND INCRL RX BIOLOGIC VNM IMMT RXN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95010","description":"PERQ TSTS SEQL AND INCRL RX BIOLOGIC VNM IMMT RXN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VA AUG 1ST THOR  and  ANY ADD THOR/L VA BODIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7507","description":"PERQ VA AUG 1ST THOR  and  ANY ADD THOR/L VA BODIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VA AUG FIRST LMB  and  ANY ADD THOR/L VA BODIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7508","description":"PERQ VA AUG FIRST LMB  and  ANY ADD THOR/L VA BODIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VERTPLSTY 1 VERT UNI BIL; CERV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2360","description":"PERQ VERTPLSTY 1 VERT UNI BIL; CERV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VTP FIRST CT  and  ANY ADD CT/LS VERT BODIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7504","description":"PERQ VTP FIRST CT  and  ANY ADD CT/LS VERT BODIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ VTP FIRST LS  and  ANY ADD CT/LS VERT BODIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7505","description":"PERQ VTP FIRST LS  and  ANY ADD CT/LS VERT BODIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERSONAL CARE ITEM NOS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5199","description":"PERSONAL CARE ITEM NOS EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERSONAL CARE SERVICES PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1019","description":"PERSONAL CARE SERVICES PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERSONAL CARE SERVICES PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1020","description":"PERSONAL CARE SERVICES PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAG INIT DX BREST CA and /SURG PLAN NOT COV MCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0252","description":"PET IMAG INIT DX BREST CA and /SURG PLAN NOT COV MCR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAG WHOLE BODY; MELANOMA NON-COVR INDICATS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0219","description":"PET IMAG WHOLE BODY; MELANOMA NON-COVR INDICATS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING ANY SITE NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0235","description":"PET IMAGING ANY SITE NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHAKIC INTRAOCULAR LENS CORRECT REFRACTIVE ERROR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0596","description":"PHAKIC INTRAOCULAR LENS CORRECT REFRACTIVE ERROR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","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 MGMT MIN MEDICAL PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90862","description":"PHARMACOLOGIC MGMT MIN MEDICAL PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACOTHER FOR OUD INIT AFT JUNE 30TH PERF PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1033","description":"PHARMACOTHER FOR OUD INIT AFT JUNE 30TH PERF PER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARMACY COMPOUNDING AND DISPENSING SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9430","description":"PHARMACY COMPOUNDING AND DISPENSING SERVICES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHATASE ACID FORENSIC EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84061","description":"PHOSPHATASE ACID FORENSIC EXAMINATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCOAGULAT MACULAR DRUSEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0017T","description":"PHOTOCOAGULAT MACULAR DRUSEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTODOCUM 2/MORE CECAL LANDMARK EST COMPL EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9612","description":"PHOTODOCUM 2/MORE CECAL LANDMARK EST COMPL EXAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTODOCUMENTATION  LT 2 CECAL LSMK EST COMPLETE EX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9614","description":"PHOTODOCUMENTATION  LT 2 CECAL LSMK EST COMPLETE EX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOREFRACTIVE KERATECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0810","description":"PHOTOREFRACTIVE KERATECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOTHERAPEUTIC KERATECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0812","description":"PHOTOTHERAPEUTIC KERATECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS MGT PT HOME CARE EPISODIC CARE MO CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0272","description":"PHYS MGT PT HOME CARE EPISODIC CARE MO CASE RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS MGT PT HOME CARE HOSPICE MONTHLY CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0271","description":"PHYS MGT PT HOME CARE HOSPICE MONTHLY CASE RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS QHP ONLINE EVALUATION  AND  MANAGEMENT SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99444","description":"PHYS QHP ONLINE EVALUATION  AND  MANAGEMENT SERVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS VST MEMBER HOME OUTSIDE CAPITATION ARRNGMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0273","description":"PHYS VST MEMBER HOME OUTSIDE CAPITATION ARRNGMNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP DIRECTION EMERGENCY MEDICAL SYSTEMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99288","description":"PHYS/QHP DIRECTION EMERGENCY MEDICAL SYSTEMS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99078","description":"PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 EXAM COLLEGE NEW OR ESTABLISHED PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0622","description":"PHYSICAL EXAM COLLEGE NEW OR ESTABLISHED PATIENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY; IN THE HOME PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9131","description":"PHYSICAL THERAPY; IN THE HOME PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL/MANIP TX MAINT RATHER THAN RESTORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8990","description":"PHYSICAL/MANIP TX MAINT RATHER THAN RESTORATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN MGT PT HOME CARE STD MONTHLY CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0270","description":"PHYSICIAN MGT PT HOME CARE STD MONTHLY CASE RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN PHONE CONSULTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99371","description":"PHYSICIAN PHONE CONSULTATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN PHONE CONSULTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99372","description":"PHYSICIAN PHONE CONSULTATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN TEAM CONFERENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99361","description":"PHYSICIAN TEAM CONFERENCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICIAN TEAM CONFERENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99362","description":"PHYSICIAN TEAM CONFERENCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSIOLOGIC TREMOR RECORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0199T","description":"PHYSIOLOGIC TREMOR RECORD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACE GASTROSTOMY TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43750","description":"PLACE GASTROSTOMY TUBE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACE INTERSTITIAL DEVICE(S) IN BONE FOR RSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0347T","description":"PLACE INTERSTITIAL DEVICE(S) IN BONE FOR RSA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACE POSTERIOR INTRAFACET IMPLANT ADDL SEGMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0222T","description":"PLACE POSTERIOR INTRAFACET IMPLANT ADDL SEGMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACE STEREO CATH BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0169T","description":"PLACE STEREO CATH BRAIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT CSTM RMV CLEAR PLASTIC TEMP AE APPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9939","description":"PLACEMENT CSTM RMV CLEAR PLASTIC TEMP AE APPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT OF INTERIM DIRECT RESTORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2940","description":"PLACEMENT OF INTERIM DIRECT RESTORATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLAGUE VACCINE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90727","description":"PLAGUE VACCINE IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA CRYOPRECIPITATE RED PATHOGEN REDUC EA UN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9025","description":"PLASMA CRYOPRECIPITATE RED PATHOGEN REDUC EA UN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA PATHOGEN REDUCED FROZEN EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9071","description":"PLASMA PATHOGEN REDUCED FROZEN EACH UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA POOLED MX DONOR PATHOGEN RDUC FROZEN EA U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9070","description":"PLASMA POOLED MX DONOR PATHOGEN RDUC FROZEN EA U","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78003","description":"PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTAZOTE SANDAL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3265","description":"PLASTAZOTE SANDAL EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELET RICH PLASMA EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9020","description":"PLATELET RICH PLASMA EACH UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELETS IRRADIATED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9032","description":"PLATELETS IRRADIATED EACH UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELETS LEUKOCYTES REDUCED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9031","description":"PLATELETS LEUKOCYTES REDUCED EACH UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELETS LEUKOCYTES REDUCED IRRADIATED EA UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9033","description":"PLATELETS LEUKOCYTES REDUCED IRRADIATED EA UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELETS PHERESIS PATHOGEN REDUCED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9988","description":"PLATELETS PHERESIS PATHOGEN REDUCED EACH UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELETS PHERESIS PATHOGEN-REDUCED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9073","description":"PLATELETS PHERESIS PATHOGEN-REDUCED EACH UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELTS PHERESIS PATHOGN RDUC RPD BACT TST EA U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9072","description":"PLATELTS PHERESIS PATHOGN RDUC RPD BACT TST EA U","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT  AND  REMV AA INTO BRST IORT ADD-ON BRST PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9726","description":"PLCMT  AND  REMV AA INTO BRST IORT ADD-ON BRST PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT ENDORECT INTRACAV APPLIC HI INTNS BRACHYTX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9725","description":"PLCMT ENDORECT INTRACAV APPLIC HI INTNS BRACHYTX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT INTERSTITIAL DEV NOT ABD PELV PROS RP THOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9728","description":"PLCMT INTERSTITIAL DEV NOT ABD PELV PROS RP THOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT INTRA-SOC BIOL DRSG AID HEMO/CLOT SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7922","description":"PLCMT INTRA-SOC BIOL DRSG AID HEMO/CLOT SITE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT OCCL DEVC VENUS/ART POST SURG/INTRVNL PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0269","description":"PLCMT OCCL DEVC VENUS/ART POST SURG/INTRVNL PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLETHYSMOGRAPY TOT BDY I AND R ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93722","description":"PLETHYSMOGRAPY TOT BDY I AND R ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLETHYSMOGRAPY TOT BDY TRCG ONLY W O I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93721","description":"PLETHYSMOGRAPY TOT BDY TRCG ONLY W O I AND R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLETHYSMOGRAPY TOT BDY W I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93720","description":"PLETHYSMOGRAPY TOT BDY W I AND R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT POST FACET IMPLANT UNI/BI W/IMG  and  GRFT CERV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0219T","description":"PLMT POST FACET IMPLANT UNI/BI W/IMG  and  GRFT CERV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT POST FACET IMPLT UNI/BI W/IMG  and  GRFT LUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0221T","description":"PLMT POST FACET IMPLT UNI/BI W/IMG  and  GRFT LUMB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT POST FACET IMPLT UNI/BI W/IMG  and  GRFT THOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0220T","description":"PLMT POST FACET IMPLT UNI/BI W/IMG  and  GRFT THOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT VISC XTN PROSTH EVASC RPR AAA EA VISC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0079T","description":"PLMT VISC XTN PROSTH EVASC RPR AAA EA VISC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT VISC XTN PROSTH EVASC RPR AAA EA VISC RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0081T","description":"PLMT VISC XTN PROSTH EVASC RPR AAA EA VISC RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT XTN PROSTH EVASC RPR ARYSM DSJ 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34825","description":"PLMT XTN PROSTH EVASC RPR ARYSM DSJ 1ST VSL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT XTN PROSTH EVASC RPR ARYSM DSJ EA VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34826","description":"PLMT XTN PROSTH EVASC RPR ARYSM DSJ EA VSL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT XTN PROSTH EVASC RPR INFRARENAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75953","description":"PLMT XTN PROSTH EVASC RPR INFRARENAL RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLNNING PT SPEC FENEST VISCERAL AORTIC GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34839","description":"PLNNING PT SPEC FENEST VISCERAL AORTIC GRAFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLS ECHO US B1 DNS MEAS INDIC AXL B1 MIN DNS TIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0508T","description":"PLS ECHO US B1 DNS MEAS INDIC AXL B1 MIN DNS TIB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSMA MX DONR SOLVNT/DETRGNT TREATD FRZN EA U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9023","description":"PLSMA MX DONR SOLVNT/DETRGNT TREATD FRZN EA U","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLT HLA-MATCHD LEUKOCYTES RDUC APHERES/PHERE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9052","description":"PLT HLA-MATCHD LEUKOCYTES RDUC APHERES/PHERE EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLT LEUKOCYTES RDUC CMV-NEG APHERES/PHERES EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9055","description":"PLT LEUKOCYTES RDUC CMV-NEG APHERES/PHERES EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLT PHERES LEUKOCYTES RDUC CMV-NEG IRRADATD EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9053","description":"PLT PHERES LEUKOCYTES RDUC CMV-NEG IRRADATD EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLUMBING  AND OR ELEC WORK HOME HEMODIAL EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4870","description":"PLUMBING  AND OR ELEC WORK HOME HEMODIAL EQUIPMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMS2 GENE MRNA SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0161U","description":"PMS2 GENE MRNA SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PN ASMT DOC STD TOOL POS F/U PLN NOT DOC NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8509","description":"PN ASMT DOC STD TOOL POS F/U PLN NOT DOC NO RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PN:PT DOC REC ABX W I 4 HR PRESENTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8012","description":"PN:PT DOC REC ABX W I 4 HR PRESENTN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PN:PT NOT DOC REC ABX IN 4 HR PRSNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8013","description":"PN:PT NOT DOC REC ABX IN 4 HR PRSNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTC ISLET CELL TRNSPLJ PORTAL OPN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0142T","description":"PNCRTC ISLET CELL TRNSPLJ PORTAL OPN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTC ISLET CELL TRNSPLJ PORTAL PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0141T","description":"PNCRTC ISLET CELL TRNSPLJ PORTAL PERQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMATIC KNEE SPLINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4380","description":"PNEUMATIC KNEE SPLINT PREFABRICATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMCOCCL VAC IM 5-9 YR NOT PREV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0195","description":"PNEUMCOCCL VAC IM 5-9 YR NOT PREV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOCENTESIS PUNCTURE LUNG ASPIRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32420","description":"PNEUMOCENTESIS PUNCTURE LUNG ASPIRATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMONOSTOMY PERCUTANEOUS DRAINAGE ABSCESS CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32201","description":"PNEUMONOSTOMY PERCUTANEOUS DRAINAGE ABSCESS CYST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POAG PT W IOP ABV TRGET AND NOT DOC POC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8308","description":"POAG PT W IOP ABV TRGET AND NOT DOC POC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POC AD MOD TO SEV PAIN DOC ON BE4 D 2ND VST CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1001","description":"POC AD MOD TO SEV PAIN DOC ON BE4 D 2ND VST CLIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POC MS PN NOT DOC ON B4 DATE 2ND VST CLIN NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1002","description":"POC MS PN NOT DOC ON B4 DATE 2ND VST CLIN NO RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYCARBONATE BOTTLE USE W/BREAST PUMP REPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4285","description":"POLYCARBONATE BOTTLE USE W/BREAST PUMP REPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYCARBONATE LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0580","description":"POLYCARBONATE LENS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYCYTE FOR TOPICAL USE ONLY PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4241","description":"POLYCYTE FOR TOPICAL USE ONLY PER 0.5 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PONTIC - PORCELAIN FUSED TO TIT  AND  TIT ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6243","description":"PONTIC - PORCELAIN FUSED TO TIT  AND  TIT ALLOYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POOLING PLATELETS/OTHER BLOOD PRODUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86965","description":"POOLING PLATELETS/OTHER BLOOD PRODUCTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORCINE IMPLANT PERMACOL PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9364","description":"PORCINE IMPLANT PERMACOL PER SQUARE CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POROUS COLL MATRIX BONE FILLER PUTTY PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9359","description":"POROUS COLL MATRIX BONE FILLER PUTTY PER 0.5 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POROUS COLL MATRIX BONE FILLER STRIP PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9362","description":"POROUS COLL MATRIX BONE FILLER STRIP PER 0.5 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORT INDWELLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1788","description":"PORT INDWELLING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORTABLE GASEOUS OXYGEN SYSTEM, RENTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0741","description":"PORTABLE GASEOUS OXYGEN SYSTEM, RENTAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORTABLE GASEOUS OXYGEN, 1 MONTH'S SUPPLY EQ 1 UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0742","description":"PORTABLE GASEOUS OXYGEN, 1 MONTH'S SUPPLY EQ 1 UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORTABLE PEAK FLOW METER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8096","description":"PORTABLE PEAK FLOW METER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POS AIRWAY PRESS TX NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8853","description":"POS AIRWAY PRESS TX NOT PRESCRIBED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONAL NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92532","description":"POSITIONAL NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONING CUSH/PILLOW/WEDGE INCL ALL COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0190","description":"POSITIONING CUSH/PILLOW/WEDGE INCL ALL COMPONENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIVE AIRWAY PRESS TX NOT PRSC RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8850","description":"POSITIVE AIRWAY PRESS TX NOT PRSC RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NOT PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8847","description":"POSITIVE AIRWAY PRESSURE THERAPY NOT PRESCRIBED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 WAS PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8852","description":"POSITIVE AIRWAY PRESSURE THERAPY WAS PRESCRIBED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITRON EMISSION TOMO RP DX NON-TUMOR ID NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9598","description":"POSITRON EMISSION TOMO RP DX NON-TUMOR ID NOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9597","description":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST-ANT LATERAL SKULL  AND  FACIAL BONE SURVEY FILM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0290","description":"POST-ANT LATERAL SKULL  AND  FACIAL BONE SURVEY FILM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST-D/C PULM SURG AFTER LVRS MINI 6 DAYS SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0305","description":"POST-D/C PULM SURG AFTER LVRS MINI 6 DAYS SRVC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99024","description":"POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER OPERATED VEHICLE NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0812","description":"POWER OPERATED VEHICLE NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER PACK BASE FOR USE W/ELEC VAD REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0488","description":"POWER PACK BASE FOR USE W/ELEC VAD REPL ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER SRC and CTRL ELEC ORAL DVC NEUMUSC ELC STM TNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0492","description":"POWER SRC and CTRL ELEC ORAL DVC NEUMUSC ELC STM TNG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0898","description":"POWER WHEELCHAIR NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR PEDIATRIC SIZE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1239","description":"POWER WHEELCHAIR PEDIATRIC SIZE NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWERED BONE MARROW BIOPSY NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1830","description":"POWERED BONE MARROW BIOPSY NEEDLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRE-OP PULM SURG PREP LVRS 1-9 DA SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0304","description":"PRE-OP PULM SURG PREP LVRS 1-9 DA SRVC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRE-OP PULM SURG SRVC PREP LVRS 10-15 DA SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0303","description":"PRE-OP PULM SURG SRVC PREP LVRS 10-15 DA SRVC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRE-OP PULM SURG SRVC PREP LVRS CMPL COURSE SRVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0302","description":"PRE-OP PULM SURG SRVC PREP LVRS CMPL COURSE SRVC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRE-VISIT PATIENT SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9912","description":"PRE-VISIT PATIENT SCREENING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRECISION ATTACHMENT BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5862","description":"PRECISION ATTACHMENT BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREDNISONE ORAL PER 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7506","description":"PREDNISONE ORAL PER 5 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREFAB POST  AND  CORE PLUS FIX PRTL RETAINER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6972","description":"PREFAB POST  AND  CORE PLUS FIX PRTL RETAINER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREFABRICATED PORCELAIN/CER CROWN - PERM TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2928","description":"PREFABRICATED PORCELAIN/CER CROWN - PERM TOOTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREFABRICATED POST AND CORE IN ADDITION TO CROWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2954","description":"PREFABRICATED POST AND CORE IN ADDITION TO CROWN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNANCY TEST (URINE OR SERUM) ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8802","description":"PREGNANCY TEST (URINE OR SERUM) ORDERED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNANCY TEST NOT ORDERED REASON NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8805","description":"PREGNANCY TEST NOT ORDERED REASON NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREHTN HTN BP DOC FU NOT PT NOT ELG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8951","description":"PREHTN HTN BP DOC FU NOT PT NOT ELG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1000","description":"PRENATAL CARE AT-RISK ASSESSMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHANCED SERVICE PACKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1005","description":"PRENATAL CARE AT-RISK ENHANCED SERVICE PACKAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHNCD SERVICE; EDUCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1003","description":"PRENATAL CARE AT-RISK ENHNCD SERVICE; EDUCATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHNCD SRVC; F/U HOM VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1004","description":"PRENATAL CARE AT-RISK ENHNCD SRVC; F/U HOM VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL CARE AT-RISK ENHNCD SRVC;CARE COORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H1002","description":"PRENATAL CARE AT-RISK ENHNCD SRVC;CARE COORD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRENATAL VITAMINS 30-DAY SUPPLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0197","description":"PRENATAL VITAMINS 30-DAY SUPPLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREOP PLACEMENT LOCALIZATION WIRE BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19290","description":"PREOP PLACEMENT LOCALIZATION WIRE BREAST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREOP PLMT LOCALIZATION WIRE BREAST EACH LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19291","description":"PREOP PLMT LOCALIZATION WIRE BREAST EACH LESION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREOPERATIVE ASSESSMENT DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9615","description":"PREOPERATIVE ASSESSMENT DOCUMENTED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREOPERATIVE ASSESSMENT NOT DOC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9617","description":"PREOPERATIVE ASSESSMENT NOT DOC RSN NOT GVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREORTHODONTIC TREATMENT VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8660","description":"PREORTHODONTIC TREATMENT VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP  AND  CANNULJ CDVR DON LNG ORGN PRFUJ SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0494T","description":"PREP  AND  CANNULJ CDVR DON LNG ORGN PRFUJ SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP REPORT PT PSYCH STATUS AGENCY/PAYER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90889","description":"PREP REPORT PT PSYCH STATUS AGENCY/PAYER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ EMBRYO TR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89255","description":"PREPJ EMBRYO TR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ TUMOR CAVITY IORT CNCRNT W/PRIM CRANIOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0735T","description":"PREPJ TUMOR CAVITY IORT CNCRNT W/PRIM CRANIOTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESBYOPIA CORRECTION FUNCTION INTRAOCULAR LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2788","description":"PRESBYOPIA CORRECTION FUNCTION INTRAOCULAR LENS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCR DIG COGNITIVE  and /BT FDA-CLRD PER CRS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9291","description":"PRESCR DIG COGNITIVE  and /BT FDA-CLRD PER CRS TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIB ANTIBIOTIC ON/W IN 3DAY AFT EPISOD DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8711","description":"PRESCRIB ANTIBIOTIC ON/W IN 3DAY AFT EPISOD DATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTION DRUG BRAND NAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5001","description":"PRESCRIPTION DRUG BRAND NAME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTION DRUG GENERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5000","description":"PRESCRIPTION DRUG GENERIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTION DRUG ORAL CHEMOTHERAPEUTIC NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8999","description":"PRESCRIPTION DRUG ORAL CHEMOTHERAPEUTIC NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTION DRUG ORAL NONCHEMOTHERAPEUTIC NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8499","description":"PRESCRIPTION DRUG ORAL NONCHEMOTHERAPEUTIC NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTN DGTL VIS TX SW-ONLY FDA CL PER CRS TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9292","description":"PRESCRIPTN DGTL VIS TX SW-ONLY FDA CL PER CRS TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESSURE ALARM FOR HEMODIALYSIS EACH REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1540","description":"PRESSURE ALARM FOR HEMODIALYSIS EACH REPLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESSURE SNSR SYS INTRAMUSC EXCLUD MOB  SW APP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1834","description":"PRESSURE SNSR SYS INTRAMUSC EXCLUD MOB  SW APP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX RBC ANTIBODY INCUBAT W/CHEM AGNTS/DRUGS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86970","description":"PRETX RBC ANTIBODY INCUBAT W/CHEM AGNTS/DRUGS EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX RBC ANTIBODY INCUBAT W/DENSITY GRAD SEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86972","description":"PRETX RBC ANTIBODY INCUBAT W/DENSITY GRAD SEP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX RBC ANTIBODY INCUBAT W/ENZYMES EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86971","description":"PRETX RBC ANTIBODY INCUBAT W/ENZYMES EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX SERUM RBC ANTB ID INCUBATION INHIBITORS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86977","description":"PRETX SERUM RBC ANTB ID INCUBATION INHIBITORS EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX SERUM RBC ANTIBODY ID DIFFIAL EACH ABSRPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86978","description":"PRETX SERUM RBC ANTIBODY ID DIFFIAL EACH ABSRPJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX SERUM RBC ANTIBODY IDENTIFICATION DILUTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86976","description":"PRETX SERUM RBC ANTIBODY IDENTIFICATION DILUTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRETX SERUM RBC ANTIBODY INCUBATION DRUGS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86975","description":"PRETX SERUM RBC ANTIBODY INCUBATION DRUGS EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"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":"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":"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":[216430],"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":"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":"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":[216430],"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":"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":"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":"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":"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":[216430],"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":"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":"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":"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":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 30 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99411","description":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 30 M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 60 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99412","description":"PREV MED COUNSEL  AND  RISK FACTOR REDJ GRP SPX 60 M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL LDLS PM SINGLE CAR CHAMBER IP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0826T","description":"PRGRMG DEV EVAL LDLS PM SINGLE CAR CHAMBER IP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL LDLS PM SYS 2CHMBR IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0804T","description":"PRGRMG DEV EVAL LDLS PM SYS 2CHMBR IN PERSON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL SCRMS PHYS/QHP REMOTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0650T","description":"PRGRMG DEV EVAL SCRMS PHYS/QHP REMOTE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEVICE EVAL IIMS IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0528T","description":"PRGRMG DEVICE EVAL IIMS IN PERSON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEVICE EVAL WRLS CAR STIMULATOR IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0522T","description":"PRGRMG DEVICE EVAL WRLS CAR STIMULATOR IN PERSON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEVICE EVALUATION CARDIAC MODULJ SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0417T","description":"PRGRMG DEVICE EVALUATION CARDIAC MODULJ SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG EVAL MECH-ELEC AORTIC VENTR SYS PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0462T","description":"PRGRMG EVAL MECH-ELEC AORTIC VENTR SYS PER DAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG EVAL NSTIM PLS GEN SYS SLEEP APNEA 1 SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0435T","description":"PRGRMG EVAL NSTIM PLS GEN SYS SLEEP APNEA 1 SESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG EVAL NSTIM PLS GEN SYS SLEEP APNEA STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0436T","description":"PRGRMG EVAL NSTIM PLS GEN SYS SLEEP APNEA STUDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 OAG PT W IOP @ BELW NO POC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8307","description":"PRIM OAG PT W IOP @ BELW NO POC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM OAG PT W IOP ABVE TRGT DOC POC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8306","description":"PRIM OAG PT W IOP ABVE TRGT DOC POC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIOR MI CAD PT DOC TO BE ON BB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8033","description":"PRIOR MI CAD PT DOC TO BE ON BB TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIOR MI CAD PT NOT DOC ON BB TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8034","description":"PRIOR MI CAD PT NOT DOC ON BB TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRITONEOCNTS ABDL PCNTS PRTL LVG 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49080","description":"PRITONEOCNTS ABDL PCNTS PRTL LVG 1ST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRITONEOCNTS ABDL PCNTS PRTL LVG SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49081","description":"PRITONEOCNTS ABDL PCNTS PRTL LVG SBSQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE IMAGE GUIDED ROBOTIC WATERJET ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2596","description":"PROBE IMAGE GUIDED ROBOTIC WATERJET ABLATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE PERCUTANEOUS LUMBAR DISCECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2614","description":"PROBE PERCUTANEOUS LUMBAR DISCECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROBE/NEEDLE CRYOABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2618","description":"PROBE/NEEDLE CRYOABLATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCALCITONIN (PCT)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0194T","description":"PROCALCITONIN (PCT)","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCENTA PER 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4310","description":"PROCENTA PER 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCHLORPERAZINE MALEATE 10 MG ORALLESS THN EQ48 HR RG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0165","description":"PROCHLORPERAZINE MALEATE 10 MG ORALLESS THN EQ48 HR RG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCHLORPERAZINE MALEATE 5 MG ORL NOT GT 48 HR DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0164","description":"PROCHLORPERAZINE MALEATE 5 MG ORL NOT GT 48 HR DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCHLORPERAZINE MALEATE ORAL 5MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0183","description":"PROCHLORPERAZINE MALEATE ORAL 5MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCUREMENT OF DONOR SPERM FROM SPERM BANK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4026","description":"PROCUREMENT OF DONOR SPERM FROM SPERM BANK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCUREN/OTH GROWTH FCT PREP PROMOTE WND HEALING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9055","description":"PROCUREN/OTH GROWTH FCT PREP PROMOTE WND HEALING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF INI V ADM IV CT/OTH HH COP INFS RX H EA 15M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0090","description":"PROF INI V ADM IV CT/OTH HH COP INFS RX H EA 15M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SRVC ADM ANTI-INFEC PM ADM CD IND HM E 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0068","description":"PROF SRVC ADM ANTI-INFEC PM ADM CD IND HM E 15 M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SRVC ADM CHEMO ADM CAL DA IND HOME EA 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0070","description":"PROF SRVC ADM CHEMO ADM CAL DA IND HOME EA 15 M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SRVC ADM SUBQ IMT ADM CAL DA IND HM EA 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0069","description":"PROF SRVC ADM SUBQ IMT ADM CAL DA IND HM EA 15 M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SRVC INIT VST ADM ANTI-INF PM IND H EA 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0088","description":"PROF SRVC INIT VST ADM ANTI-INF PM IND H EA 15 M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVC INI V ADM SUB IMT/OTH INF RX H EA 15M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0089","description":"PROF SVC INI V ADM SUB IMT/OTH INF RX H EA 15M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 1 NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95120","description":"PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 1 NJX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 2 OR GT  NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95125","description":"PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 2 OR GT  NJX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX W/PRV XTRC 1 STING INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95130","description":"PROF SVCS ALLG IMMNTX W/PRV XTRC 1 STING INSECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX W/PRV XTRC 2 STING INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95131","description":"PROF SVCS ALLG IMMNTX W/PRV XTRC 2 STING INSECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX W/PRV XTRC 3 STING INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95132","description":"PROF SVCS ALLG IMMNTX W/PRV XTRC 3 STING INSECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX W/PRV XTRC 4 STING INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95133","description":"PROF SVCS ALLG IMMNTX W/PRV XTRC 4 STING INSECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX W/PRV XTRC 5 STING INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95134","description":"PROF SVCS ALLG IMMNTX W/PRV XTRC 5 STING INSECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROG DEVICE EVAL IN PERSON LEADLESS PM SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0389T","description":"PROG DEVICE EVAL IN PERSON LEADLESS PM SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGENAMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4222","description":"PROGENAMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAM EVAL ICAR ISCHM MNTRNG SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0305T","description":"PROGRAM EVAL ICAR ISCHM MNTRNG SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0575T","description":"PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAMMING DEVICE EVALUATION IN PERSON ISDSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0683T","description":"PROGRAMMING DEVICE EVALUATION IN PERSON ISDSS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRESSIVE LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2781","description":"PROGRESSIVE LENS PER LENS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8570","description":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SVC I/P OR OBS SETTING 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99356","description":"PROLONGED SVC I/P OR OBS SETTING 1ST HOUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED SVC I/P OR OBS SETTING EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99357","description":"PROLONGED SVC I/P OR OBS SETTING EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED SVC OUTPATIENT SETTING 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99354","description":"PROLONGED SVC OUTPATIENT SETTING 1ST HOUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED SVC OUTPATIENT SETTING EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99355","description":"PROLONGED SVC OUTPATIENT SETTING EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M0076","description":"PROLOTHERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROMETHAZINE HCL 25 MG, ORAL, LESS THN EQ48 HR REGIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0170","description":"PROMETHAZINE HCL 25 MG, ORAL, LESS THN EQ48 HR REGIMEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH P ABX NOT ORD GIVEN 1 HR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8632","description":"PROPH P ABX NOT ORD GIVEN 1 HR SURG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPORTIONAL CONTROL 12 VOLT UTAH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7274","description":"PROPORTIONAL CONTROL 12 VOLT UTAH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATE CANCER ANTIGEN 3 TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3721","description":"PROSTATE CANCER ANTIGEN 3 TESTING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATE SATURATION SAMPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0137T","description":"PROSTATE SATURATION SAMPLING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY, FIRST STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52612","description":"PROSTATECTOMY, FIRST STAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATECTOMY, SECOND STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52614","description":"PROSTATECTOMY, SECOND STAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTATIC WATER THERMOTHER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53853","description":"PROSTATIC WATER THERMOTHER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1789","description":"PROSTHESIS BREAST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS PENILE INFLATABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1813","description":"PROSTHESIS PENILE INFLATABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS PENILE NON-INFLATABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2622","description":"PROSTHESIS PENILE NON-INFLATABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS SERVICE APHAKIA TEMPORARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92358","description":"PROSTHESIS SERVICE APHAKIA TEMPORARY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS URINARY SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1815","description":"PROSTHESIS URINARY SPHINCTER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC DEVICE REPAIR HOURLY RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7500","description":"PROSTHETIC DEVICE REPAIR HOURLY RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC DONNING SLEEVE ANY MATERIAL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7600","description":"PROSTHETIC DONNING SLEEVE ANY MATERIAL EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC EYE OTHER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2629","description":"PROSTHETIC EYE OTHER TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8699","description":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTAMINE SULFATE FOR HEMODIALYSIS PER 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4802","description":"PROTAMINE SULFATE FOR HEMODIALYSIS PER 50 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTHROMBIN CMPLX CONC KCENTRA I.U. FCT IX ACTV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9132","description":"PROTHROMBIN CMPLX CONC KCENTRA I.U. FCT IX ACTV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROV COVID-19 TST NP SA  and  SELF-COLL 1 TST CNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1034","description":"PROV COVID-19 TST NP SA  and  SELF-COLL 1 TST CNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROV DOC PT NOT ELIG PT VERIFI MEDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8507","description":"PROV DOC PT NOT ELIG PT VERIFI MEDS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROV E-PRSC SYS PRSC GEN DUR ENCNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8446","description":"PROV E-PRSC SYS PRSC GEN DUR ENCNTR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROVISIONAL SPLINTING - EXTRACORONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4321","description":"PROVISIONAL SPLINTING - EXTRACORONAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROVISIONAL SPLINTING - INTRACORONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4320","description":"PROVISIONAL SPLINTING - INTRACORONAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NSTIM ELTRD NEUROMUSCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64565","description":"PRQ IMPLTJ NSTIM ELTRD NEUROMUSCULAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NSTIM ELTRDS AUTONOMIC NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64560","description":"PRQ IMPLTJ NSTIM ELTRDS AUTONOMIC NRV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PLMT IVC FILTER RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75940","description":"PRQ PLMT IVC FILTER RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORON ATHERECT W WO ANGIOP 1 VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92995","description":"PRQ TRLUML CORON ATHERECT W WO ANGIOP 1 VESSEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORON ATHERECT W WO ANGIOP EA VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92996","description":"PRQ TRLUML CORON ATHERECT W WO ANGIOP EA VESSEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONARY BALLOON ANGIOPLASTY 1 VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92982","description":"PRQ TRLUML CORONARY BALLOON ANGIOPLASTY 1 VSL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML CORONARY BALLOON ANGIOPLASTY EA VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92984","description":"PRQ TRLUML CORONARY BALLOON ANGIOPLASTY EA VSL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTBLE GASEOUS O2 SYS PURCH; FLWMTR HUMIDFR AND MASK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0430","description":"PRTBLE GASEOUS O2 SYS PURCH; FLWMTR HUMIDFR AND MASK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTBLE LQD O2 SYS PURCH; RESRVOR FLWMTR HUMIDFR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0435","description":"PRTBLE LQD O2 SYS PURCH; RESRVOR FLWMTR HUMIDFR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PS and CEU O DVC/APP NMS ES TNG MUSC CON PH APP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1028","description":"PS and CEU O DVC/APP NMS ES TNG MUSC CON PH APP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PST 2 YRS DXA ORD  AND  DOC ROS  AND  MED HX PHARM TX OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8861","description":"PST 2 YRS DXA ORD  AND  DOC ROS  AND  MED HX PHARM TX OP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PST VERTEBRAL JOINT RPLCMT LUMBAR SPI SINGLE SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0719T","description":"PST VERTEBRAL JOINT RPLCMT LUMBAR SPI SINGLE SGM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSV W VOL CNTRL NONINVASV INTERFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0464","description":"PSV W VOL CNTRL NONINVASV INTERFACE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSV W VOL CNTROL INVASV INTERFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0463","description":"PSV W VOL CNTROL INVASV INTERFACE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC ANXIETY DO MRNA GEN XPRSN PRFL RNA 15 BMRK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0437U","description":"PSYC ANXIETY DO MRNA GEN XPRSN PRFL RNA 15 BMRK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC GENOMIC ALYS PANEL VARIANT ALYS 15 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0345U","description":"PSYC GENOMIC ALYS PANEL VARIANT ALYS 15 GENES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYC GENOMIC ALYS PNL VRNT ALYS 26 GEN BUCC SWAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0423U","description":"PSYC GENOMIC ALYS PNL VRNT ALYS 26 GEN BUCC SWAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90792","description":"PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":283.2263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":283.2263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DIAGNOSTIC EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90791","description":"PSYCHIATRIC DIAGNOSTIC EVALUATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":238.4757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":238.4757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DIAGNOSTIC INTERVIEW EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90801","description":"PSYCHIATRIC DIAGNOSTIC INTERVIEW EXAMINATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC EVAL HOSPITAL RECORDS DX PURPOSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90885","description":"PSYCHIATRIC EVAL HOSPITAL RECORDS DX PURPOSES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 HEALTH FACILITY SERVICE PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2013","description":"PSYCHIATRIC HEALTH FACILITY SERVICE PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC SYMPTOMS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9742","description":"PSYCHIATRIC SYMPTOMS ASSESSED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC SYMPTOMS NOT ASSESSED REASON NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9743","description":"PSYCHIATRIC SYMPTOMS NOT ASSESSED REASON NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90845","description":"PSYCHOANALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOEDUCATIONAL SERVICE PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2027","description":"PSYCHOEDUCATIONAL SERVICE PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TESTING ADMN BY TECH PR HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96102","description":"PSYCHOLOGICAL TESTING ADMN BY TECH PR HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TESTING COMPUTER W PROF I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96103","description":"PSYCHOLOGICAL TESTING COMPUTER W PROF I AND R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TESTING PR HR WITH PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96101","description":"PSYCHOLOGICAL TESTING PR HR WITH PATIENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96131","description":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96130","description":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":190.0444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":190.0444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOSOCIAL REHABILITATION SERVICES PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2018","description":"PSYCHOSOCIAL REHABILITATION SERVICES PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY COMPLEX INTERACTIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90785","description":"PSYCHOTHERAPY COMPLEX INTERACTIVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90840","description":"PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90839","description":"PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":238.4757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":238.4757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90832","description":"PSYCHOTHERAPY W/PATIENT 30 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90834","description":"PSYCHOTHERAPY W/PATIENT 45 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":190.0444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":190.0444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90837","description":"PSYCHOTHERAPY W/PATIENT 60 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":238.4757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":238.4757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90833","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90836","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 45 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90838","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 60 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":190.0444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":190.0444,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST ELEC PLATFORM AUTO RESULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96146","description":"PSYCL/NRPSYCL TST ELEC PLATFORM AUTO RESULT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST PHYS/QHP 2 Plus  TST EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96137","description":"PSYCL/NRPSYCL TST PHYS/QHP 2 Plus  TST EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.7505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.7505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST TECH 2 Plus  TST 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96138","description":"PSYCL/NRPSYCL TST TECH 2 Plus  TST 1ST 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.7505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.7505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST TECH 2 Plus  TST EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96139","description":"PSYCL/NRPSYCL TST TECH 2 Plus  TST EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":44.7505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":44.7505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYL/NRPSYCL TST PHYS/QHP 2 Plus  TST 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96136","description":"PSYL/NRPSYCL TST PHYS/QHP 2 Plus  TST 1ST 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.1818,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 1 SX NOT DOC HAD UP ENDO OR REF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8248","description":"PT 1 SX NOT DOC HAD UP ENDO OR REF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 6 MO PHQ-9/9M NA/ GT or equal t","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1024","description":"PT 12-17 Y MD/DYSTH NO REM 6 MO PHQ-9/9M NA/ GT or equal t","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 6 M PHQ-9/PHQ-9M  LT 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1023","description":"PT 12-17 YR MD/DYSTH REM 6 M PHQ-9/PHQ-9M  LT 5","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 1 CLM FRLTY and 1 AC IP ADV ILL MP/YR PRI M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2110","description":"PT 66  and  GT 1 CLM FRLTY and 1 AC IP ADV ILL MP/YR PRI M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66  and  GT CLM FRLTY  and 1 AC IP ADV ILL MP/YR PRI MP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2109","description":"PT 66  and  GT CLM FRLTY  and 1 AC IP ADV ILL MP/YR PRI MP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT  1 Plus CL FRAILTY 1 Plus  ENCNT ADV ILL DUR/Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2135","description":"PT 66 OR GT  1 Plus CL FRAILTY 1 Plus  ENCNT ADV ILL DUR/Y","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66 OR GT  1 Plus CL FRAILTY DISP MED DMENTIA DUR/YR PRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2134","description":"PT 66 OR GT  1 Plus CL FRAILTY DISP MED DMENTIA DUR/YR PRI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 1 CLAIM FRAILTY  AND  DIS MED DEMENTIA DUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2114","description":"PT 66-80 1 CLAIM FRAILTY  AND  DIS MED DEMENTIA DUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66-80 1 CLAIM FRLTY  AND  1 AC IP ENC  ADV ILL MP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2133","description":"PT 66-80 1 CLAIM FRLTY  AND  1 AC IP ENC  ADV ILL MP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66-80 1 CLAIM FRLTY  AND  1 AC IP ENC ADV ILL MP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2117","description":"PT 66-80 1 CLAIM FRLTY  AND  1 AC IP ENC ADV ILL MP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66-80 1 CLM FRAILTY  AND  DIS MED DEMENTIA DUR MP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2132","description":"PT 66-80 1 CLM FRAILTY  AND  DIS MED DEMENTIA DUR MP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66-80 Y AND AL 1 CLM FRAILTY MP  AND  DIS DEMENT MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2124","description":"PT 66-80 Y AND AL 1 CLM FRAILTY MP  AND  DIS DEMENT MED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 YR / and  AL 1 CLAIM FRAILTY DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2123","description":"PT 66-80 YR / and  AL 1 CLAIM FRAILTY DUR MSR PERIOD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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/OLDER INST SNP/RES LTC  GT 90 D DUR MSR PRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2108","description":"PT 66/OLDER INST SNP/RES LTC  GT 90 D DUR MSR PRD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT 66/OLDR INST SNP/RESID LT CARE  GT 90 DAYS MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2130","description":"PT 66/OLDR INST SNP/RESID LT CARE  GT 90 DAYS MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ADD SPINE PROC SAME DT LUMB DISCECTOMY/LAMI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9942","description":"PT ADD SPINE PROC SAME DT LUMB DISCECTOMY/LAMI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ADD SPINE PROC SAME DT LUMB DISCECTOMY/LAMI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9948","description":"PT ADD SPINE PROC SAME DT LUMB DISCECTOMY/LAMI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT APPRVD QUAL TPLNT PROG  AND  SCHED LD KID TPLNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9748","description":"PT APPRVD QUAL TPLNT PROG  AND  SCHED LD KID TPLNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT APPRVD QUAL TPLNT PROG  AND  SCHED LD KID TPLNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9750","description":"PT APPRVD QUAL TPLNT PROG  AND  SCHED LD KID TPLNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ASTHMA NO DOC LT MED ALT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8391","description":"PT ASTHMA NO DOC LT MED ALT TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT BEEN TX SYS BIO MED PSO AL 6 MOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9652","description":"PT BEEN TX SYS BIO MED PSO AL 6 MOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CONT RET ATTCH 6 MO F U 1 SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9376","description":"PT CONT RET ATTCH 6 MO F U 1 SURG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT CONT RETINA ATTCH 6 MO F U VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9378","description":"PT CONT RETINA ATTCH 6 MO F U VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 MED VST LAST 6 MOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9248","description":"PT DID NOT HAVE MED VST LAST 6 MOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DISCONTINUED HEMODIALYSIS/PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9523","description":"PT DISCONTINUED HEMODIALYSIS/PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC ASSESS FALLS IN LAST 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8055","description":"PT DOC ASSESS FALLS IN LAST 12 MO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC ASSESS PRESENCE ABSENCE URINARY INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8262","description":"PT DOC ASSESS PRESENCE ABSENCE URINARY INCONT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC ASSESSMENT URINARY INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8060","description":"PT DOC ASSESSMENT URINARY INCONT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC CHARACTERIZATION OF URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8265","description":"PT DOC CHARACTERIZATION OF URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC D MAC FUND EX RETINOPATHY AND MAC EDEMA DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8329","description":"PT DOC D MAC FUND EX RETINOPATHY AND MAC EDEMA DOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC DEXA ORDR PRFRM AND RSLT DOC PHRMC TX PRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8344","description":"PT DOC DEXA ORDR PRFRM AND RSLT DOC PHRMC TX PRSC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC DEXA PRFRM AND RSLT DOC ORDR PHRMC TX PRSCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8340","description":"PT DOC DEXA PRFRM AND RSLT DOC ORDR PHRMC TX PRSCR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC FIND MAC FUND EX CMNCT PHYS MAN DIAB CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8333","description":"PT DOC FIND MAC FUND EX CMNCT PHYS MAN DIAB CARE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC HAD VITAL SIGNS RECORDED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8359","description":"PT DOC HAD VITAL SIGNS RECORDED AND REVIEWED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC HAVE EXP WRG SITE SIDE PT PRO/IMPL EVENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8912","description":"PT DOC HAVE EXP WRG SITE SIDE PT PRO/IMPL EVENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC HAVE EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8914","description":"PT DOC HAVE EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC MED HX TAKEN INCL ASSESS NEW CHNG MOLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8275","description":"PT DOC MED HX TAKEN INCL ASSESS NEW CHNG MOLES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NO WRONG SITE SIDE PT PROC/IMPLANT EVENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8913","description":"PT DOC NO WRONG SITE SIDE PT PROC/IMPLANT EVENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NO:BURN;FALL FAC;WRG EVENT;/HOS TRANSFER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8907","description":"PT DOC NO:BURN;FALL FAC;WRG EVENT;/HOS TRANSFER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8915","description":"PT DOC NOT EXPERNCD HOSP TRNSF/ADM UPON D/C ASC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8911","description":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8909","description":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC NOT VISUAL FUNC STS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8318","description":"PT DOC NOT VISUAL FUNC STS ASSESSED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC ORDER PROPH ABX BE GIVEN 1 HR PRIOR SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8197","description":"PT DOC ORDER PROPH ABX BE GIVEN 1 HR PRIOR SURG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC ORDR CEFAZOLIN CEFUROXIME ANTIMICRB PROPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8198","description":"PT DOC ORDR CEFAZOLIN CEFUROXIME ANTIMICRB PROPH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC PRE-SURG AXL LEN CORN PWR  AND  IOL PWR CALC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8321","description":"PT DOC PRE-SURG AXL LEN CORN PWR  AND  IOL PWR CALC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC PRESCRIBED ANTICOAGULANT AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8225","description":"PT DOC PRESCRIBED ANTICOAGULANT AT DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC PRESCRIBED ANTIPLATELET THERAPY DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8222","description":"PT DOC PRESCRIBED ANTIPLATELET THERAPY DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC PRSC RECOM ANTIOXIDANT VIT MIN SUPPLEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8309","description":"PT DOC PRSC RECOM ANTIOXIDANT VIT MIN SUPPLEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC REC CT MRI HEM LES AC INF DOC FINAL RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8242","description":"PT DOC REC CT MRI HEM LES AC INF DOC FINAL RPT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC REC DVT PROPH END HOSP DAY 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8219","description":"PT DOC REC DVT PROPH END HOSP DAY 2","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC REC DYSPHAGIA SCR PRIOR FOOD FLUID OR MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8232","description":"PT DOC REC DYSPHAGIA SCR PRIOR FOOD FLUID OR MED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC REC ORDER REHAB SRVC OR CONSIDER REHAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8237","description":"PT DOC REC ORDER REHAB SRVC OR CONSIDER REHAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC RECEIVED COMPLETE PHYSICAL SKIN EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8278","description":"PT DOC RECEIVED COMPLETE PHYSICAL SKIN EXAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC RECEIVED COUNSELING TO PRFRM SELF-EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8281","description":"PT DOC RECEIVED COUNSELING TO PRFRM SELF-EXAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC RECEIVED DVT PROPH BY END HOSPITAL DAY 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8216","description":"PT DOC RECEIVED DVT PROPH BY END HOSPITAL DAY 2","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC RECEIVED HEARING ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8057","description":"PT DOC RECEIVED HEARING ASSESSMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC RECEIVED ORDER FOR BARIUM SWALLOW TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8253","description":"PT DOC RECEIVED ORDER FOR BARIUM SWALLOW TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC RECEIVED PNEUMOCOCCAL VACC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8115","description":"PT DOC RECEIVED PNEUMOCOCCAL VACC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC RECEIVED PRSC PHRMCL TX FOR OSTEOPOROSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8284","description":"PT DOC RECEIVED PRSC PHRMCL TX FOR OSTEOPOROSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC RECV CABG W O USE IMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8159","description":"PT DOC RECV CABG W O USE IMA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC RECV CABG W USE INTERNAL MAMMARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8158","description":"PT DOC RECV CABG W USE INTERNAL MAMMARY ARTERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC RECV FLU VACC DUR FLU SEASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8108","description":"PT DOC RECV FLU VACC DUR FLU SEASON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC RECV FUND EVAL W I 6 MOS PRIOR CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8325","description":"PT DOC RECV FUND EVAL W I 6 MOS PRIOR CAT SURG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC RECV MAC EX INCL DOC MAC THICK HEM MD SEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8313","description":"PT DOC RECV MAC EX INCL DOC MAC THICK HEM MD SEV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC RECV OPTIC NERVE HEAD EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8298","description":"PT DOC RECV OPTIC NERVE HEAD EVAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC RECV PLAN OF CARE URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8267","description":"PT DOC RECV PLAN OF CARE URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC RECVD ABX 1 HR PRIOR TO INCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8152","description":"PT DOC RECVD ABX 1 HR PRIOR TO INCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC RECVD CAL AND VIT D CNSL ON CAL AND VIT D AND EXER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8288","description":"PT DOC RECVD CAL AND VIT D CNSL ON CAL AND VIT D AND EXER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC SCREENING FALL RISK 2 OR GRT  FALLS PAST YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8270","description":"PT DOC SCREENING FALL RISK 2 OR GRT  FALLS PAST YEAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 SPEC TARGET IO PRESS GOAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8302","description":"PT DOC SPEC TARGET IO PRESS GOAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC SURROGATE DECISN MAKER ADVANCE CARE PLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8259","description":"PT DOC SURROGATE DECISN MAKER ADVANCE CARE PLAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC TO HAVE APPROP EMPIRIC ANTIBIOTIC  PRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8366","description":"PT DOC TO HAVE APPROP EMPIRIC ANTIBIOTIC  PRSC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC TO HAVE HAD 12-LEAD ECG PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8350","description":"PT DOC TO HAVE HAD 12-LEAD ECG PERFORMED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC TO HAVE HAD ECG PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8356","description":"PT DOC TO HAVE HAD ECG PERFORMED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC TO HAVE MENTAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8364","description":"PT DOC TO HAVE MENTAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC TO HAVE OXYGEN SATURATION ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8361","description":"PT DOC TO HAVE OXYGEN SATURATION ASSESSED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC TO HAVE RECV TAKEN ASPIRIN 24 HR BEFOR ER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8353","description":"PT DOC TO HAVE RECV TAKEN ASPIRIN 24 HR BEFOR ER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC TO HAVE VISUAL FUNCTIONAL STATUS ASSESSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8317","description":"PT DOC TO HAVE VISUAL FUNCTIONAL STATUS ASSESSED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DOC TX AD AT LEAST 6 MOS CONT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8129","description":"PT DOC TX AD AT LEAST 6 MOS CONT TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DX MD DOC AD 180 DAY CONT TX PH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9194","description":"PT DX MD DOC AD 180 DAY CONT TX PH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DX MD NOT DOC AD 180 DAY TX PH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9195","description":"PT DX MD NOT DOC AD 180 DAY TX PH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT DX SX OA DOC ANUL ASSESS FN AND PAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8185","description":"PT DX SX OA DOC ANUL ASSESS FN AND PAIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ENCNTR NOT DOC EMR D T SYS RSNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8449","description":"PT ENCNTR NOT DOC EMR D T SYS RSNS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EVAL RSK MISUSE OPIATES USING BRF VAL INSTRUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9584","description":"PT EVAL RSK MISUSE OPIATES USING BRF VAL INSTRUM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97001","description":"PT EVALUATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT F/U EVAL AT LEAST EVRY 3 MOS DUR OPIOID TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9562","description":"PT F/U EVAL AT LEAST EVRY 3 MOS DUR OPIOID TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FE DOC RECV MAMMO MSR PRIOR YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8111","description":"PT FE DOC RECV MAMMO MSR PRIOR YR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FE NOT DOC ASSESSED OSTEOPOROSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8052","description":"PT FE NOT DOC ASSESSED OSTEOPOROSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FE NOT DOC RECV MAM MSR PRIOR YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8112","description":"PT FE NOT DOC RECV MAM MSR PRIOR YR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT FEMALE DOC ASSESSD OSTEOPOROSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8051","description":"PT FEMALE DOC ASSESSD OSTEOPOROSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 MEDICAL VISIT LAST 6 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9249","description":"PT HAD MEDICAL VISIT LAST 6 MONTHS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD PRIOR INFLUENZA ADVS REACT ANY TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2164","description":"PT HAD PRIOR INFLUENZA ADVS REACT ANY TIME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HAD PROPH ABX INFUSED PRIOR INFLATION PROX TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9301","description":"PT HAD PROPH ABX INFUSED PRIOR INFLATION PROX TQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 RECV CSGRT THN EQ10MG DAY 60 OR GRT DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8860","description":"PT HAVE RECV CSGRT THN EQ10MG DAY 60 OR GRT DAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HI FAST/DIR LDL-C LAB TEST RSLT 70/189 MG/DL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9666","description":"PT HI FAST/DIR LDL-C LAB TEST RSLT 70/189 MG/DL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8560","description":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HX 1 PLUS  CONTR ANAPH TDAP VAC ANAP TD ENCPH TDAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2155","description":"PT HX 1 PLUS  CONTR ANAPH TDAP VAC ANAP TD ENCPH TDAP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT HX IMMUNOCOMPROMISING COND PT/DUR MSMT PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1158","description":"PT HX IMMUNOCOMPROMISING COND PT/DUR MSMT PER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IC-III BRST CA DOC REC TAMOXIFEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8381","description":"PT IC-III BRST CA DOC REC TAMOXIFEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT IC-III BRST CA NOT DOC TAMOXIFEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8380","description":"PT IC-III BRST CA NOT DOC TAMOXIFEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ISOLAT CABG DOC RQR SURG RE-EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8166","description":"PT ISOLAT CABG DOC RQR SURG RE-EXPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ISOLAT CABG NOT RQR SURG RE-EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8167","description":"PT ISOLAT CABG NOT RQR SURG RE-EXPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ISOLATD CABG NOT DOC D C ASPIRIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8171","description":"PT ISOLATD CABG NOT DOC D C ASPIRIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ISOLT CABG NO DOC RECV PRE-OP BB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8162","description":"PT ISOLT CABG NO DOC RECV PRE-OP BB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT ISOLT CABG NOT DOC PROLONG INTUB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8165","description":"PT ISOLT CABG NOT DOC PROLONG INTUB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT MD DOC AD MED DUR 84 DAY AC TX P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8126","description":"PT MD DOC AD MED DUR 84 DAY AC TX P","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT MD NOT DOC AD MED 84 DAY AC TX P","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8127","description":"PT MD NOT DOC AD MED 84 DAY AC TX P","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT MODE VASC ACCESS CATH TIME MAINT HD INITIATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9240","description":"PT MODE VASC ACCESS CATH TIME MAINT HD INITIATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT MODE VASC ACCESS NOT CATH TM MAINT HD INITIAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9241","description":"PT MODE VASC ACCESS NOT CATH TM MAINT HD INITIAT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 CA AND VIT D USE CNSL CA AND VIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8289","description":"PT NO DOC CA AND VIT D USE CNSL CA AND VIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO DOC ORDER BARIUM SWALLOW TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8254","description":"PT NO DOC ORDER BARIUM SWALLOW TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO DOC SCREEN FUTURE FALL RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8271","description":"PT NO DOC SCREEN FUTURE FALL RISK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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/U EVAL AT LEAST EVRY 3 MOS DUR OPIOID TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9563","description":"PT NO F/U EVAL AT LEAST EVRY 3 MOS DUR OPIOID TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8562","description":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO REFR  PLUS -1 D EYE- CAT S 1 MO FU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9392","description":"PT NO REFR  PLUS -1 D EYE- CAT S 1 MO FU","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO RET ATTCH AFTR 6 MO FLW 1 SRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9377","description":"PT NO RET ATTCH AFTR 6 MO FLW 1 SRG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NO VERIFICATION  AND  DOC SUDDEN HEARING LOSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8567","description":"PT NO VERIFICATION  AND  DOC SUDDEN HEARING LOSS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 FLAT RET 6 MO POST SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9379","description":"PT NOT ACHV FLAT RET 6 MO POST SURG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 DOC ASSESS FALL LAST 12 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8054","description":"PT NOT DOC ASSESS FALL LAST 12 MO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC ASSESS URINARY INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8263","description":"PT NOT DOC ASSESS URINARY INCONT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC ASSESSMNT URINARY INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8061","description":"PT NOT DOC ASSESSMNT URINARY INCONT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC CHARACTER URIN INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8266","description":"PT NOT DOC CHARACTER URIN INCONT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC DEXA MEAS ORDERED OR RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8345","description":"PT NOT DOC DEXA MEAS ORDERED OR RX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC DEXA MEAS PHARM THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8341","description":"PT NOT DOC DEXA MEAS PHARM THERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC DIL MAC EDEMA NOT DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8330","description":"PT NOT DOC DIL MAC EDEMA NOT DOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC ESOPH BX SUSPICION BE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8251","description":"PT NOT DOC ESOPH BX SUSPICION BE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC FUNDUS EVAL PRIOR CAT SX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8326","description":"PT NOT DOC FUNDUS EVAL PRIOR CAT SX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC HAVE REC DYSPHAGIA SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8234","description":"PT NOT DOC HAVE REC DYSPHAGIA SCR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC HAVE VITAL SIGNS REC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8360","description":"PT NOT DOC HAVE VITAL SIGNS REC AND REV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC MAC EX NO DOC MD SEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8314","description":"PT NOT DOC MAC EX NO DOC MD SEV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC PERM PERSIST PAROX ATRIAL FIBRLLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8227","description":"PT NOT DOC PERM PERSIST PAROX ATRIAL FIBRLLATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC POC URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8268","description":"PT NOT DOC POC URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC PRE-SURG AXIAL LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8322","description":"PT NOT DOC PRE-SURG AXIAL LENGTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC RCV CNSL PRFRM  SELF-EX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8282","description":"PT NOT DOC RCV CNSL PRFRM  SELF-EX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC REC CT MRI NOT FINAL RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8243","description":"PT NOT DOC REC CT MRI NOT FINAL RPT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC REC DVT PROPH HOSP DAY 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8217","description":"PT NOT DOC REC DVT PROPH HOSP DAY 2","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC REC DVT PROPH HOSP DAY 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8220","description":"PT NOT DOC REC DVT PROPH HOSP DAY 2","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC REC ORDER CONSIDER REHAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8238","description":"PT NOT DOC REC ORDER CONSIDER REHAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC REC RX ANTICOAGUL TX DC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8226","description":"PT NOT DOC REC RX ANTICOAGUL TX DC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC REC RX ANTIPLATELT TX DC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8223","description":"PT NOT DOC REC RX ANTIPLATELT TX DC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC REC TPA NOT CONSIDER TPA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8231","description":"PT NOT DOC REC TPA NOT CONSIDER TPA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC RECEIVED HEARING ASMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8058","description":"PT NOT DOC RECEIVED HEARING ASMT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC RECEIVED PHRMCL THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8285","description":"PT NOT DOC RECEIVED PHRMCL THERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC RECV AB PROP 1HR TO INCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8153","description":"PT NOT DOC RECV AB PROP 1HR TO INCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC RECV CMPL PHYS SKIN EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8279","description":"PT NOT DOC RECV CMPL PHYS SKIN EXAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC RECV FLU VACC FLU SEASON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8109","description":"PT NOT DOC RECV FLU VACC FLU SEASON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC RECV HX ASSESS NEW MOLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8276","description":"PT NOT DOC RECV HX ASSESS NEW MOLES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC RECV ONH EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8299","description":"PT NOT DOC RECV ONH EVAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC RECVD PNEUMOCOCCAL VACC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8116","description":"PT NOT DOC RECVD PNEUMOCOCCAL VACC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC RX 1 VIT MINERAL DUR YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8310","description":"PT NOT DOC RX 1 VIT MINERAL DUR YR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC SPEC TARGET IO PRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8303","description":"PT NOT DOC SPEC TARGET IO PRESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC SURROG DECISN ADV CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8260","description":"PT NOT DOC SURROG DECISN ADV CARE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC TAKEN ASPRN 24 HRS B4 ER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8354","description":"PT NOT DOC TAKEN ASPRN 24 HRS B4 ER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC TO HAVE EMPIRIC ABX PRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8367","description":"PT NOT DOC TO HAVE EMPIRIC ABX PRSC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC TO HAVE MENTL STS ASSESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8365","description":"PT NOT DOC TO HAVE MENTL STS ASSESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC TO HAVE O2 SATURATION AS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8362","description":"PT NOT DOC TO HAVE O2 SATURATION AS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT DOC TX AD AT LEAST 6 MO CONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8130","description":"PT NOT DOC TX AD AT LEAST 6 MO CONT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG APPROP COGNTV IMPR SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8436","description":"PT NOT ELIG APPROP COGNTV IMPR SCR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG CEFAZOLIN CEFUROXIME ANTIMICRB PROPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8201","description":"PT NOT ELIG CEFAZOLIN CEFUROXIME ANTIMICRB PROPH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG CMNC PHYS PT FRAC PT TESTED OSTEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8339","description":"PT NOT ELIG CMNC PHYS PT FRAC PT TESTED OSTEO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG CMPL PHYSICAL SKIN EXAM DUR RPT YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8280","description":"PT NOT ELIG CMPL PHYSICAL SKIN EXAM DUR RPT YEAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG COUNSELING TO PRFRM SELF-EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8283","description":"PT NOT ELIG COUNSELING TO PRFRM SELF-EXAMINATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG DOC OF PRESENCE ABSENCE OF ALARM SX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8349","description":"PT NOT ELIG DOC OF PRESENCE ABSENCE OF ALARM SX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG DVT PROPH HOSP DAY 2 PHYS DOC PT AMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8218","description":"PT NOT ELIG DVT PROPH HOSP DAY 2 PHYS DOC PT AMB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG E.G. REFUS URGNT EM SIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8784","description":"PT NOT ELIG E.G. REFUS URGNT EM SIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG MED HX NEW CHANGE MOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8246","description":"PT NOT ELIG MED HX NEW CHANGE MOLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG MED HX REV W ASSESS NEW CHNG MOLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8277","description":"PT NOT ELIG MED HX REV W ASSESS NEW CHNG MOLES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8566","description":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8561","description":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIG T-PA ADMIN ISCHEMIC STROKE SX  OVER  3 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8230","description":"PT NOT ELIG T-PA ADMIN ISCHEMIC STROKE SX  OVER  3 HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIGIBLE CANDIDATE DISCHARGE MED REVIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8258","description":"PT NOT ELIGIBLE CANDIDATE DISCHARGE MED REVIEW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT ELIGIBLE REFER OTOLOGIC EVALUATION MEASUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8557","description":"PT NOT ELIGIBLE REFER OTOLOGIC EVALUATION MEASUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT EVAL RISK MISUSE OPIATES BRF VAL INSTRUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9585","description":"PT NOT EVAL RISK MISUSE OPIATES BRF VAL INSTRUM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 PRSC LST 135DA 180-DA MSR BB POST DX AMI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9804","description":"PT NOT PRSC LST 135DA 180-DA MSR BB POST DX AMI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 13-VALENT PNEUM CONJ and  23-VAL12 MNT GT 60","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2159","description":"PT NOT REC 13-VALENT PNEUM CONJ and  23-VAL12 MNT GT 60","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT REC AT LEAST 1DS HERP ZOST OR 2DS RCM Equal to  GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2162","description":"PT NOT REC AT LEAST 1DS HERP ZOST OR 2DS RCM Equal to  GT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 OR INELIG FOOD FLUID OR MED MOUTH NPO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8235","description":"PT NOT REC OR INELIG FOOD FLUID OR MED MOUTH NPO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RECD 1 TD VAC OR/1 TDAP BTW 9YR PRI START","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2156","description":"PT NOT RECD 1 TD VAC OR/1 TDAP BTW 9YR PRI START","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RECV 1ST COURSE ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8871","description":"PT NOT RECV 1ST COURSE ANTI-TNF TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 GRT THN EQ 10 MG DA 60 OR GRT  DA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8862","description":"PT NOT RECV CS GRT THN EQ 10 MG DA 60 OR GRT  DA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RECV FLU VAC 7/1 YR PRI MSR and 6/30 MSR;","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2165","description":"PT NOT RECV FLU VAC 7/1 YR PRI MSR and 6/30 MSR;","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT RECV MAINT HD OP DIALYS FAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8957","description":"PT NOT RECV MAINT HD OP DIALYS FAC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT SCORE MOTOR SPEECH MEASURE AT ADMIT DISCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8614","description":"PT NOT SCORE MOTOR SPEECH MEASURE AT ADMIT DISCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 ST RECV AV TX  HEP C MSR PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9499","description":"PT NOT ST RECV AV TX  HEP C MSR PER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 URETER INJ SX/DISC 30D POST SRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9633","description":"PT NOT SUSTN URETER INJ SX/DISC 30D POST SRG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT TX BETA-LACTM ABX DEFINITV TX RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9560","description":"PT NOT TX BETA-LACTM ABX DEFINITV TX RSN NOT GVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT NOT TX SYS BIO MED PSO AL 6 MOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9653","description":"PT NOT TX SYS BIO MED PSO AL 6 MOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PREOP ORD IV ABX PROPH ABX INITIATED TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8916","description":"PT PREOP ORD IV ABX PROPH ABX INITIATED TIME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8917","description":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PRES 135 DA TX180-DA MSRMT BB PST D/C AMI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9803","description":"PT PRES 135 DA TX180-DA MSRMT BB PST D/C AMI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PRIOR ADV REAC ZOSTER VA ANY TIME DUR/B4 MEAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2161","description":"PT PRIOR ADV REAC ZOSTER VA ANY TIME DUR/B4 MEAS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT PRIOR PNEUM VAC ADV REAC ANY TIME DUR/B4 MEAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2158","description":"PT PRIOR PNEUM VAC ADV REAC ANY TIME DUR/B4 MEAS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RCV CSGRT THN EQ10 MG D PRD EQ 60 D 12M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9467","description":"PT RCV CSGRT THN EQ10 MG D PRD EQ 60 D 12M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RE-EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97002","description":"PT RE-EVALUATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REC 13-VALENT PNEUM CONJ and  23-VAL POLYS12 M GT 60","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2157","description":"PT REC 13-VALENT PNEUM CONJ and  23-VAL POLYS12 M GT 60","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REC AT LEAST 1DS HERP ZOST LIV OR 2DS RCM Equal to  GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2160","description":"PT REC AT LEAST 1DS HERP ZOST LIV OR 2DS RCM Equal to  GT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REC INFLUENZA VAC ON/BTW JULY1 YR PRI  and JUN30","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2163","description":"PT REC INFLUENZA VAC ON/BTW JULY1 YR PRI  and JUN30","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REC1 TD VAC OR/1 TDAP BTW 9YR PRI START MEASR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2154","description":"PT REC1 TD VAC OR/1 TDAP BTW 9YR PRI START MEASR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECEIVED ACTIVE CHEMO ANY TIME DUR MSMT PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1156","description":"PT RECEIVED ACTIVE CHEMO ANY TIME DUR MSMT PER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECEIVED BMT ANY TIME DUR MEASUREMENT PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1157","description":"PT RECEIVED BMT ANY TIME DUR MEASUREMENT PERIOD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 AV TX HEP C DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8461","description":"PT RECV AV TX HEP C DUR MSR PERIOD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV CS GRT THN EQ10 MG DA 60 OR GRT  CONS DA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8859","description":"PT RECV CS GRT THN EQ10 MG DA 60 OR GRT  CONS DA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV MAINT HD  GT or equal to  90 DAY CATH AS VASC ACCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9265","description":"PT RECV MAINT HD  GT or equal to  90 DAY CATH AS VASC ACCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 MNT HD  GT or equal to  90 DA NO CATH AS VASC ACCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9266","description":"PT RECV MNT HD  GT or equal to  90 DA NO CATH AS VASC ACCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT RECV/RCVNG CS  GT or equal to  10 MG/D PDN EQ 90/GT CON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9469","description":"PT RECV/RCVNG CS  GT or equal to  10 MG/D PDN EQ 90/GT CON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFERRED PHYS OTOLOGIC EVAL REASON NOT SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8564","description":"PT REFERRED PHYS OTOLOGIC EVAL REASON NOT SPEC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT REFR  PLUS -1 D EYE-CAT SURG 1 MO F U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9391","description":"PT REFR  PLUS -1 D EYE-CAT SURG 1 MO F U","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 FALL RISK DOC NO FALL PAST YR 1 W O INJR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8517","description":"PT SCR FALL RISK DOC NO FALL PAST YR 1 W O INJR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SCR FUTURE FALLS RISK DOC 2 OR GRT  FALLS W INJR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8516","description":"PT SCR FUTURE FALLS RISK DOC 2 OR GRT  FALLS W INJR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SPEC ALG RANKING PHARMACOONCOLOGIC TX OPTIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0794T","description":"PT SPEC ALG RANKING PHARMACOONCOLOGIC TX OPTIONS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT START AV TX HEP C DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9205","description":"PT START AV TX HEP C DUR MSR PERIOD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT START AV TX HEP C DUR MSR PERIOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9206","description":"PT START AV TX HEP C DUR MSR PERIOD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT SUSPICION BARRETTS ESOPH ENDO RPT DOC REC BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8250","description":"PT SUSPICION BARRETTS ESOPH ENDO RPT DOC REC BX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 URETER INJ SURG/DISC 30 DAY POST SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9631","description":"PT SUSTAIN URETER INJ SURG/DISC 30 DAY POST SURG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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/BETA-LACTAM ABX AS DEFINITIVE TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9558","description":"PT TREATED W/BETA-LACTAM ABX AS DEFINITIVE TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 CMPL GEN ORTHO FS PROM INIT EVAL  and / D/C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9739","description":"PT UNABL CMPL GEN ORTHO FS PROM INIT EVAL  and / D/C","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 ALARM SX DOC HAD UPPER ENDO OR REF UP ENDO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8247","description":"PT W ALARM SX DOC HAD UPPER ENDO OR REF UP ENDO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W DOC THROMBOEMBOILIS PROPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8155","description":"PT W DOC THROMBOEMBOILIS PROPH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W HF  AND  AF DOC ON WARFARIN TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8183","description":"PT W HF  AND  AF DOC ON WARFARIN TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W ISOLAT CABG DOC PROLNG INTUBAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8164","description":"PT W ISOLAT CABG DOC PROLNG INTUBAT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W ISOLATED CABG DOC D C ASPIRIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8170","description":"PT W ISOLATED CABG DOC D C ASPIRIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W ISOLATED CABG DOC RECV PRE-OP BETA-BLOCKADE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8161","description":"PT W ISOLATED CABG DOC RECV PRE-OP BETA-BLOCKADE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W O DOC THROMBOEMBOLISM PROPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8156","description":"PT W O DOC THROMBOEMBOLISM PROPHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT W/NEEDLE LOC SPEC VERIFIED INTRAOP INSP/PATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8873","description":"PT W/NEEDLE LOC SPEC VERIFIED INTRAOP INSP/PATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WAS NOT REFERRED HOSPICE CARE RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9526","description":"PT WAS NOT REFERRED HOSPICE CARE RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_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 USE PALLIATIVE CARE SERVICES DUR MEAS PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9995","description":"PT WHO USE PALLIATIVE CARE SERVICES DUR MEAS PER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8918","description":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RECEIVING 1ST COURS ANTI-TNF TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8868","description":"PTS RECEIVING 1ST COURS ANTI-TNF TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM PI PART VNTJ 1 BRTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78584","description":"PULM PI PART VNTJ 1 BRTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM PI PART VNTJ IMG AERSL 1 MLT PRJCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78588","description":"PULM PI PART VNTJ IMG AERSL 1 MLT PRJCJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM PI PART VNTJ RBRTHING AND WSHOT  PLUS -1 BRTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78585","description":"PULM PI PART VNTJ RBRTHING AND WSHOT  PLUS -1 BRTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM QUAN DIFFIAL FUNCJ VNTJ PRFUJ STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78596","description":"PULM QUAN DIFFIAL FUNCJ VNTJ PRFUJ STD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM REHAB INCL EXER 1 HR PER SESS TO 2 PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0424","description":"PULM REHAB INCL EXER 1 HR PER SESS TO 2 PER DAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM REHAB PROGM NON-PHYSICIAN PROVIDER PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9473","description":"PULM REHAB PROGM NON-PHYSICIAN PROVIDER PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM TISS VNTJ ALYS IN CMBN CT F/PULM TISS VNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0808T","description":"PULM TISS VNTJ ALYS IN CMBN CT F/PULM TISS VNTJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM TISS VNTJ ALYS IN CMBN PREV ACQUIRED CT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0807T","description":"PULM TISS VNTJ ALYS IN CMBN PREV ACQUIRED CT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM VI AERSL 1 PROJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78586","description":"PULM VI AERSL 1 PROJECTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM VI AERSL MLT PRJCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78587","description":"PULM VI AERSL MLT PRJCJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM VI GASEOUS 1 PRJCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78591","description":"PULM VI GASEOUS 1 PRJCJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM VI GASEOUS RBRTHING AND WSHOT 1 PRJCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78593","description":"PULM VI GASEOUS RBRTHING AND WSHOT 1 PRJCJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULM VI GASEOUS RBRTHING AND WSHOT MLT PRJCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78594","description":"PULM VI GASEOUS RBRTHING AND WSHOT MLT PRJCJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY COMPLIANCE STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94750","description":"PULMONARY COMPLIANCE STUDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY STRESS TESTING SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94620","description":"PULMONARY STRESS TESTING SIMPLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULP CAP - INDIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3120","description":"PULP CAP - INDIRECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULP VITALITY TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0460","description":"PULP VITALITY TESTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULPAL THERAPY - ANTERIOR PRIMARY TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3230","description":"PULPAL THERAPY - ANTERIOR PRIMARY TOOTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUPAL REGENERATION; NO FINAL RESTOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3354","description":"PUPAL REGENERATION; NO FINAL RESTOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY AND PRPL ANTIMICRBL TYP P SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9349","description":"PURAPLY AND PRPL ANTIMICRBL TYP P SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY OR PURAPLY AM PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4172","description":"PURAPLY OR PURAPLY AM PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4195","description":"PURAPLY PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURAPLY XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4197","description":"PURAPLY XT PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AUTOMATED AIR  AND  BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0209T","description":"PURE TONE AUDIOMETRY AUTOMATED AIR  AND  BONE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AUTOMATED AIR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0208T","description":"PURE TONE AUDIOMETRY AUTOMATED AIR ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR MOBILTY DVC NOT CODED DME PDAC/NOT MEET CRIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0899","description":"PWR MOBILTY DVC NOT CODED DME PDAC/NOT MEET CRIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR UE ROM ASST DVC ELB WR HND FNGR SNGL/DBL UPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8702","description":"PWR UE ROM ASST DVC ELB WR HND FNGR SNGL/DBL UPR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR UE ROM ASST DVC ELB WR HND WITH SNGL/DBL UPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8701","description":"PWR UE ROM ASST DVC ELB WR HND WITH SNGL/DBL UPR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACCESS GRP 34 NONSEALED LEAD ACID BATT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2358","description":"PWR WC ACCESS GRP 34 NONSEALED LEAD ACID BATT EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ATTENDANT CONTROL PROPROTIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2331","description":"PWR WC ACSS ATTENDANT CONTROL PROPROTIONAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS GRP 27 NONSEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2372","description":"PWR WC ACSS GRP 27 NONSEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS NOC INTERFCE ELECS AND ANY TYPE HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2399","description":"PWR WC ACSS NOC INTERFCE ELECS AND ANY TYPE HARDWARE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0831","description":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0830","description":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 HD 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0879","description":"PWR WC GRP 4 HD 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 HD MX PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0886","description":"PWR WC GRP 4 HD MX PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 HVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0870","description":"PWR WC GRP 4 HVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0878","description":"PWR WC GRP 4 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0877","description":"PWR WC GRP 4 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD CAPTAIN CHAIR PT TO  and   Equal to  300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0869","description":"PWR WC GRP 4 STD CAPTAIN CHAIR PT TO  and   Equal to  300","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD MX PWR CAPT CHR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0885","description":"PWR WC GRP 4 STD MX PWR CAPT CHR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0884","description":"PWR WC GRP 4 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 STD SLING SEAT PT TO  and   Equal to  300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0868","description":"PWR WC GRP 4 STD SLING SEAT PT TO  and   Equal to  300 LBS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 V HD 1 PWR SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0880","description":"PWR WC GRP 4 V HD 1 PWR SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 4 V HVY DUTY SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0871","description":"PWR WC GRP 4 V HVY DUTY SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 5 PED 1 PWR SLING SEAT PT TO  and  Equal to 125","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0890","description":"PWR WC GRP 5 PED 1 PWR SLING SEAT PT TO  and  Equal to 125","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 5 PED MX PWR SLNG SEAT PT TO  and  Equal to 125","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0891","description":"PWR WC GRP 5 PED MX PWR SLNG SEAT PT TO  and  Equal to 125","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC VALVE PNEUMATIC TIRE TUBE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2393","description":"PWR WC VALVE PNEUMATIC TIRE TUBE REPL ONLY EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Q N-P HC PROF ONL ASMT and MGMT EST PT TO 7 D;21 OR GT M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2063","description":"Q N-P HC PROF ONL ASMT and MGMT EST PT TO 7 D;21 OR GT M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Q NPHYS HC PROF ONL A AND MGMT EST PT TO 7 D;11-20 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2062","description":"Q NPHYS HC PROF ONL A AND MGMT EST PT TO 7 D;11-20 M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Q NPHYS HC PROF ONLN A AND MGT EST PT TO 7 D;5-10 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2061","description":"Q NPHYS HC PROF ONLN A AND MGT EST PT TO 7 D;5-10 M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QMRCP W/DIAGNOSTIC MRI SAME ANATOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0724T","description":"QMRCP W/DIAGNOSTIC MRI SAME ANATOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QMRCP W/O DIAGNOSTIC MRI SM ANATOMY DRG SM SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0723T","description":"QMRCP W/O DIAGNOSTIC MRI SM ANATOMY DRG SM SESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN CT TISS CHARAC I and R W/CNCRNT CT EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0722T","description":"QUAN CT TISS CHARAC I and R W/CNCRNT CT EXAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN CT TISS CHARAC I and R W/O CNCRNT CT EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0721T","description":"QUAN CT TISS CHARAC I and R W/O CNCRNT CT EXAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN MR ALYS TIS COMPJ WO MRI SAME SESS MLT ORGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0697T","description":"QUAN MR ALYS TIS COMPJ WO MRI SAME SESS MLT ORGN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN MR ALYS TISS COMPJ W/O MRI SAME SESS 1ORGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0648T","description":"QUAN MR ALYS TISS COMPJ W/O MRI SAME SESS 1ORGN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN MR ALYS TISS COMPOSITION W/MRI 1ORGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0649T","description":"QUAN MR ALYS TISS COMPOSITION W/MRI 1ORGN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN MR ALYS TISS COMPOSITION W/MRI MLT ORGANS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0698T","description":"QUAN MR ALYS TISS COMPOSITION W/MRI MLT ORGANS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN MRI ALYS BRAIN W/O DIAGNOSTIC MRI SAME SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0865T","description":"QUAN MRI ALYS BRAIN W/O DIAGNOSTIC MRI SAME SESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0866T","description":"QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUAN US TISS CHARAC I and R W/O DX US SAME ANAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0689T","description":"QUAN US TISS CHARAC I and R W/O DX US SAME ANAT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PUPILLOMETRY W INTERP AND REPORT UNILAT BILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0341T","description":"QUANT PUPILLOMETRY W INTERP AND REPORT UNILAT BILAT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT SENAORY TEST and INTERPJ/XTR W/HT-PN STIMULI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0109T","description":"QUANT SENAORY TEST and INTERPJ/XTR W/HT-PN STIMULI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT SENSORY TEST and INTERPJ/XTR OTHER STIMULI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0110T","description":"QUANT SENSORY TEST and INTERPJ/XTR OTHER STIMULI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT SENSORY TEST and INTERPJ/XTR W/COOL STIMULI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0108T","description":"QUANT SENSORY TEST and INTERPJ/XTR W/COOL STIMULI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT SENSORY TEST and INTERPJ/XTR W/TOUCH STIMULI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0106T","description":"QUANT SENSORY TEST and INTERPJ/XTR W/TOUCH STIMULI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT SENSORY TEST and INTERPJ/XTR W/VIBRJ STIMULI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0107T","description":"QUANT SENSORY TEST and INTERPJ/XTR W/VIBRJ STIMULI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANTITATIVE US TISS CHARAC I and R W/DX US SM ANAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0690T","description":"QUANTITATIVE US TISS CHARAC I and R W/DX US SM ANAT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R HRT CATHETERIZATION CONGENITAL CARDIAC ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93530","description":"R HRT CATHETERIZATION CONGENITAL CARDIAC ANOMALY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R and R EXTERNALLY ACCESSIBLE NEPHROURETERAL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7546","description":"R and R EXTERNALLY ACCESSIBLE NEPHROURETERAL CATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R-T PRESSURE SENSING EPIDURAL GUIDANCE SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0777T","description":"R-T PRESSURE SENSING EPIDURAL GUIDANCE SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R-T SPCTRL ALYS PRST8 TISS FLUORESCENC SPCTRSCPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0443T","description":"R-T SPCTRL ALYS PRST8 TISS FLUORESCENC SPCTRSCPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RA-BASED EVAL MLT MOLEC PROBES 11 THRU 50 PROBES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88384","description":"RA-BASED EVAL MLT MOLEC PROBES 11 THRU 50 PROBES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RA-BASED EVAL MLT MOLEC PROBES 251 THRU 500 PRBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88386","description":"RA-BASED EVAL MLT MOLEC PROBES 251 THRU 500 PRBS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RA-BASED EVL MLT MOLEC PROBES 51 THRU 250 PROBES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88385","description":"RA-BASED EVL MLT MOLEC PROBES 51 THRU 250 PROBES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RABIES VACCINE INTRADERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90676","description":"RABIES VACCINE INTRADERMAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 THER BONE METASTASES RADIATION ONCL 90D PROF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1076","description":"RAD THER BONE METASTASES RADIATION ONCL 90D PROF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD XM SI JT ARTHG RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73542","description":"RAD XM SI JT ARTHG RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ABD ANTEROPOST AND ADDL OBLQ AND CONE VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74010","description":"RADEX ABD ANTEROPOST AND ADDL OBLQ AND CONE VIEWS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ABDOMEN 1 ANTEROPOSTERIOR VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74000","description":"RADEX ABDOMEN 1 ANTEROPOSTERIOR VIEW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ABDOMEN COMPL W DCBTS AND  ERC VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74020","description":"RADEX ABDOMEN COMPL W DCBTS AND  ERC VIEWS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CH 2 VIEWS FRNT  AND  LAT APICAL LORDOTIC PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71021","description":"RADEX CH 2 VIEWS FRNT  AND  LAT APICAL LORDOTIC PX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CH 2 VIEWS FRONTAL  AND  LATERAL OBLIQUE PRJCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71022","description":"RADEX CH 2 VIEWS FRONTAL  AND  LATERAL OBLIQUE PRJCJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CH 2 VIEWS FRONTAL  AND  LATERAL W FLUORO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71023","description":"RADEX CH 2 VIEWS FRONTAL  AND  LATERAL W FLUORO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CHEST COMPLETE MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71030","description":"RADEX CHEST COMPLETE MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CHEST COMPLETE MINIMUM 4 VIEWS W FLUORO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71034","description":"RADEX CHEST COMPLETE MINIMUM 4 VIEWS W FLUORO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CHEST SPECIAL VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71035","description":"RADEX CHEST SPECIAL VIEWS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76102","description":"RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY BI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76101","description":"RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY UNI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX GI TRACT UPPER W WO DELAYED IMAGES W KUB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74241","description":"RADEX GI TRACT UPPER W WO DELAYED IMAGES W KUB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX GI TRACT UPR W SM INT W MULT SERIAL IMAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74245","description":"RADEX GI TRACT UPR W SM INT W MULT SERIAL IMAGES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX GI UPR W WO GLUCOSE W SM INTEST FOLLW-THRU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74249","description":"RADEX GI UPR W WO GLUCOSE W SM INTEST FOLLW-THRU","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX UPPER GI W WO GLUCAGON DELAY IMAGES W KUB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74247","description":"RADEX UPPER GI W WO GLUCAGON DELAY IMAGES W KUB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIAL KERATOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65771","description":"RADIAL KERATOTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION CARRIER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5983","description":"RADIATION CARRIER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION CONE LOCATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5985","description":"RADIATION CONE LOCATOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION SHIELD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5984","description":"RADIATION SHIELD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER ANAL CA RAD ONC MOD 90 DAY PF CMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1072","description":"RADIATION THER ANAL CA RAD ONC MOD 90 DAY PF CMP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER ANAL CA RAD ONC MOD 90DAY TCH CMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1073","description":"RADIATION THER ANAL CA RAD ONC MOD 90DAY TCH CMP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER BLAD CA RAD ONC MOD 90D TECH COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1075","description":"RADIATION THER BLAD CA RAD ONC MOD 90D TECH COMP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER BLAD CA RAD ONC MOD 90DAY PRF CMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1074","description":"RADIATION THER BLAD CA RAD ONC MOD 90DAY PRF CMP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER BONE METASTASES RAD ONC 90DY TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1077","description":"RADIATION THER BONE METASTASES RAD ONC 90DY TECH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER BRAIN METASTASES RAD ONC 90D PROF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1078","description":"RADIATION THER BRAIN METASTASES RAD ONC 90D PROF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER BRAIN METASTASES RAD ONC 90D TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1079","description":"RADIATION THER BRAIN METASTASES RAD ONC 90D TECH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER CERVICAL CA RADIATION ONC 90D PRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1082","description":"RADIATION THER CERVICAL CA RADIATION ONC 90D PRF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER CERVICAL CA RADIATION ONC 90D TCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1083","description":"RADIATION THER CERVICAL CA RADIATION ONC 90D TCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER CNS TUMORS RADIATION ONC 90D PROF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1084","description":"RADIATION THER CNS TUMORS RADIATION ONC 90D PROF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER CNS TUMORS RADIATION ONC 90D TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1085","description":"RADIATION THER CNS TUMORS RADIATION ONC 90D TECH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER COLORECTAL CA RAD ONC 90D PROF CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1086","description":"RADIATION THER COLORECTAL CA RAD ONC 90D PROF CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER COLORECTAL CA RAD ONC 90D TECH CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1087","description":"RADIATION THER COLORECTAL CA RAD ONC 90D TECH CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER HEAD and NCK CA RADIATION ONC 90D PRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1088","description":"RADIATION THER HEAD and NCK CA RADIATION ONC 90D PRF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER HEAD and NCK CA RADIATION ONC 90D TCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1089","description":"RADIATION THER HEAD and NCK CA RADIATION ONC 90D TCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER LUNG CANCER RADIATION ONC 90D PRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1094","description":"RADIATION THER LUNG CANCER RADIATION ONC 90D PRF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER LUNG CANCER RADIATION ONC 90D TCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1095","description":"RADIATION THER LUNG CANCER RADIATION ONC 90D TCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER PANCREATIC CA RADIAT ONC 90D PROF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1098","description":"RADIATION THER PANCREATIC CA RADIAT ONC 90D PROF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER PANCREATIC CA RADIAT ONC 90D TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1099","description":"RADIATION THER PANCREATIC CA RADIAT ONC 90D TECH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER PROSTATE CA RADIATION ONC 90D PRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1100","description":"RADIATION THER PROSTATE CA RADIATION ONC 90D PRF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER PROSTATE CA RADIATION ONC 90D TCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1101","description":"RADIATION THER PROSTATE CA RADIATION ONC 90D TCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER UPPER GI CA RADIATION ONC 90D PRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1102","description":"RADIATION THER UPPER GI CA RADIATION ONC 90D PRF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER UPPER GI CA RADIATION ONC 90D TCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1103","description":"RADIATION THER UPPER GI CA RADIATION ONC 90D TCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER UTERINE CA RADIATION ONC 90D PROF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1104","description":"RADIATION THER UTERINE CA RADIATION ONC 90D PROF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THER UTERINE CA RADIATION ONC 90D TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1105","description":"RADIATION THER UTERINE CA RADIATION ONC 90D TECH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THERAPY LYMPHOMA RADIATION ONC 90D PRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1096","description":"RADIATION THERAPY LYMPHOMA RADIATION ONC 90D PRF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THERAPY LYMPHOMA RADIATION ONC 90D TCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1097","description":"RADIATION THERAPY LYMPHOMA RADIATION ONC 90D TCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THERP BREAST CA RADIATION ONC 90D PROF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1080","description":"RADIATION THERP BREAST CA RADIATION ONC 90D PROF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THERP BREAST CA RADIATION ONC 90D TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1081","description":"RADIATION THERP BREAST CA RADIATION ONC 90D TECH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77403","description":"RADIATION TREATMENT DELIVERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77404","description":"RADIATION TREATMENT DELIVERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77406","description":"RADIATION TREATMENT DELIVERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77408","description":"RADIATION TREATMENT DELIVERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77409","description":"RADIATION TREATMENT DELIVERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77411","description":"RADIATION TREATMENT DELIVERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77413","description":"RADIATION TREATMENT DELIVERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77414","description":"RADIATION TREATMENT DELIVERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77416","description":"RADIATION TREATMENT DELIVERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TX DELIVERY IMRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77418","description":"RADIATION TX DELIVERY IMRT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION OF MAXILLA OR MANDIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7490","description":"RADICAL RESECTION OF MAXILLA OR MANDIBLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOELEMENTS FOR BRACHYTHERAPY ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q3001","description":"RADIOELEMENTS FOR BRACHYTHERAPY ANY TYPE EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOGRAPHIC ABSORPTIOMETRY 1 PLUS  SITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77083","description":"RADIOGRAPHIC ABSORPTIOMETRY 1 PLUS  SITS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOGRAPHIC/SURGICAL IMPLANT INDEX BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6190","description":"RADIOGRAPHIC/SURGICAL IMPLANT INDEX BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLABELED PROD PROV DURING A HOSPITAL IP STAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9898","description":"RADIOLABELED PROD PROV DURING A HOSPITAL IP STAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 2 VIEWS FRONTAL AND LATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71020","description":"RADIOLOGIC EXAM CHEST 2 VIEWS FRONTAL AND LATERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION CHEST SINGLE VIEW FRONTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71010","description":"RADIOLOGIC EXAMINATION CHEST SINGLE VIEW FRONTAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION CHEST STERO FRONTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71015","description":"RADIOLOGIC EXAMINATION CHEST STERO FRONTAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4641","description":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL THERAPEUTIC NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9699","description":"RADIOPHARMACEUTICAL THERAPEUTIC NOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHRM DX BETA-AMYLOID PET IMAG PR S DOSE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9599","description":"RADIOPHRM DX BETA-AMYLOID PET IMAG PR S DOSE NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOSTEREOMETRIC ANALYSIS LOWER EXTREMITY EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0350T","description":"RADIOSTEREOMETRIC ANALYSIS LOWER EXTREMITY EXAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOSTEREOMETRIC ANALYSIS SPINE EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0348T","description":"RADIOSTEREOMETRIC ANALYSIS SPINE EXAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOSTEREOMETRIC ANALYSIS UPPER EXTREMITY EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0349T","description":"RADIOSTEREOMETRIC ANALYSIS UPPER EXTREMITY EXAM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAISED TOILET SEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0244","description":"RAISED TOILET SEAT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RARE DS WHL MITOCHDRL GEN SEQ ALYS 335 NUC GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0417U","description":"RARE DS WHL MITOCHDRL GEN SEQ ALYS 335 NUC GENES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9840","description":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBC SURVIVAL STUDY DIFFERNTL ORGAN/TISS KINETICS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78135","description":"RBC SURVIVAL STUDY DIFFERNTL ORGAN/TISS KINETICS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBCS FRZN/DEGLYCEROLIZED/WASHED LEUKOCYTES RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9057","description":"RBCS FRZN/DEGLYCEROLIZED/WASHED LEUKOCYTES RDUC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBCS LEUKOCYTES REDUCED CMV-NEG IRRADATD EA UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9058","description":"RBCS LEUKOCYTES REDUCED CMV-NEG IRRADATD EA UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBCS LEUKOCYTES REDUCED IRRADIATED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9040","description":"RBCS LEUKOCYTES REDUCED IRRADIATED EACH UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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-CEMENT OR RE-BOND BIL SPACE MAINTAINER - MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1551","description":"RE-CEMENT OR RE-BOND BIL SPACE MAINTAINER - MAX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-CEMENT OR RE-BOND FIXED RETAINER - MANDIBUL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8699","description":"RE-CEMENT OR RE-BOND FIXED RETAINER - MANDIBUL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-CEMENT OR RE-BOND FIXED RETAINER - MAXILLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8698","description":"RE-CEMENT OR RE-BOND FIXED RETAINER - MAXILLAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-CEMENT/RE-BOND BIL SPACE MAINTAINER - MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1552","description":"RE-CEMENT/RE-BOND BIL SPACE MAINTAINER - MAND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-CEMENT/RE-BOND UNI SPACE MAINTAINR - PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1553","description":"RE-CEMENT/RE-BOND UNI SPACE MAINTAINR - PER QUAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-EVALUATION - POST-OPERATIVE OFFICE VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0171","description":"RE-EVALUATION - POST-OPERATIVE OFFICE VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REACHING/GRABBING DEVICE ANY TYPE ANY LENGTH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9281","description":"REACHING/GRABBING DEVICE ANY TYPE ANY LENGTH EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"READ SCORE AT DIS NOT HIGHR ADMIT, REAS NOT SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8616","description":"READ SCORE AT DIS NOT HIGHR ADMIT, REAS NOT SPEC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"READING SCORE AT DISCH HIGHER THAN ADMIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8615","description":"READING SCORE AT DISCH HIGHER THAN ADMIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REASON FOR NOT ADMINISTERING TRASTUZUMAB DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9836","description":"REASON FOR NOT ADMINISTERING TRASTUZUMAB DOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REBASE COMPLETE MANDIBULAR DENTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5711","description":"REBASE COMPLETE MANDIBULAR DENTURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REBASE COMPLETE MAXILLARY DENTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5710","description":"REBASE COMPLETE MAXILLARY DENTURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REBASE HYBRID PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5725","description":"REBASE HYBRID PROSTHESIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REBASE MANDIBULAR PARTIAL DENTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5721","description":"REBASE MANDIBULAR PARTIAL DENTURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REBASE MAXILLARY PARTIAL DENTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5720","description":"REBASE MAXILLARY PARTIAL DENTURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REBONDING OR RECEMENTING OF FIXED RETAINER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8693","description":"REBONDING OR RECEMENTING OF FIXED RETAINER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REBOUND MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4296","description":"REBOUND MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REC FTL CAR SGL 3 CH PT REC  AND  STRG DATA SCN I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0475T","description":"REC FTL CAR SGL 3 CH PT REC  AND  STRG DATA SCN I AND R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REC FTL CAR SGL 3 CH REVIEW I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0478T","description":"REC FTL CAR SGL 3 CH REVIEW I AND R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REC FTL CAR SGL 3 CH SGL XTRJ TECHL ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0477T","description":"REC FTL CAR SGL 3 CH SGL XTRJ TECHL ALYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REC FTL CAR SGL PT REC SCAN W/RAW ELEC TR DATA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0476T","description":"REC FTL CAR SGL PT REC SCAN W/RAW ELEC TR DATA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVER AND/OR TRANSMITTER NEUROSTIMULATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1816","description":"RECEIVER AND/OR TRANSMITTER NEUROSTIMULATOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVER DEDICATED FOR USE W/THERAPEUTIC GCM SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0554","description":"RECEIVER DEDICATED FOR USE W/THERAPEUTIC GCM SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEIVER; EXTERNAL USE W/ARTIF PANCREAS DEVC SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1037","description":"RECEIVER; EXTERNAL USE W/ARTIF PANCREAS DEVC SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEMENTATION OF SPACE MAINTAINER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1550","description":"RECEMENTATION OF SPACE MAINTAINER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECIPROCATING PERITONEAL DIALYSIS SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1630","description":"RECIPROCATING PERITONEAL DIALYSIS SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECLAST INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3488","description":"RECLAST INJECTION 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL CATH USE ANY TYPE TRANSANAL IRR SYS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4453","description":"RECTAL CATH USE ANY TYPE TRANSANAL IRR SYS EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL THERMOMETER REUSABLE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4932","description":"RECTAL THERMOMETER REUSABLE ANY TYPE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0184T","description":"RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS DEGLYCEROLIZED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9039","description":"RED BLOOD CELLS DEGLYCEROLIZED EACH UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS IRRADIATED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9038","description":"RED BLOOD CELLS IRRADIATED EACH UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS WASHED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9022","description":"RED BLOOD CELLS WASHED EACH UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION OF SKULL DEFECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62116","description":"REDUCTION OF SKULL DEFECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PHYSICIAN FOR OTOLOGIC EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8556","description":"REFERRED TO PHYSICIAN FOR OTOLOGIC EVALUATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REGIONAL BLOCK ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9211","description":"REGIONAL BLOCK ANESTHESIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REGIONAL HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99185","description":"REGIONAL HYPOTHERMIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REGUARD FOR TOPICAL USE ONLY PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4255","description":"REGUARD FOR TOPICAL USE ONLY PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REHAB SRVC NOT INDIC AT PRIOR D C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8700","description":"REHAB SRVC NOT INDIC AT PRIOR D C","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REHAB SRVC ORDERED AT PRIOR D C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8699","description":"REHAB SRVC ORDERED AT PRIOR D C","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REHAB SRVC WERE NOT ORDERED RSN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8701","description":"REHAB SRVC WERE NOT ORDERED RSN NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REHABILITATION PROGRAM PER 1/2 DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2001","description":"REHABILITATION PROGRAM PER 1/2 DAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELESE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4257","description":"RELESE PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELINE COMPLETE MANDIBULAR DENTURE DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5731","description":"RELINE COMPLETE MANDIBULAR DENTURE DIRECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELINE COMPLETE MANDIBULAR DENTURE INDIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5751","description":"RELINE COMPLETE MANDIBULAR DENTURE INDIRECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELINE COMPLETE MAXILLARY DENTURE DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5730","description":"RELINE COMPLETE MAXILLARY DENTURE DIRECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELINE COMPLETE MAXILLARY DENTURE INDIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5750","description":"RELINE COMPLETE MAXILLARY DENTURE INDIRECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELINE MANDIBULAR PARTIAL DENTURE DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5741","description":"RELINE MANDIBULAR PARTIAL DENTURE DIRECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELINE MANDIBULAR PARTIAL DENTURE INDIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5761","description":"RELINE MANDIBULAR PARTIAL DENTURE INDIRECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELINE MAXILLARY PARTIAL DENTURE DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5740","description":"RELINE MAXILLARY PARTIAL DENTURE DIRECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELINE MAXILLARY PARTIAL DENTURE INDIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5760","description":"RELINE MAXILLARY PARTIAL DENTURE INDIRECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOC SKIN POCKET CARDIAC MODULJ PULSE GENERATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0416T","description":"RELOC SKIN POCKET CARDIAC MODULJ PULSE GENERATOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCAJ RPLCMT AORTIC VENTR MECHANO-ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0459T","description":"RELOCAJ RPLCMT AORTIC VENTR MECHANO-ELECTRODE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATION PG WCS LV PACG BATTERY COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0862T","description":"RELOCATION PG WCS LV PACG BATTERY COMPONENT ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATION PG WCS LV PACG TRANSMITTR COMPNT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0863T","description":"RELOCATION PG WCS LV PACG TRANSMITTR COMPNT ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATION PULSE GENERATOR ONLY ISDSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0681T","description":"RELOCATION PULSE GENERATOR ONLY ISDSS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM AUTON ALG INSULIN DOSE 1ST SETUP and  PT EDUCAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0740T","description":"REM AUTON ALG INSULIN DOSE 1ST SETUP and  PT EDUCAJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM AUTON ALG NSLN DOS CAL SW DATA COLL TRANSMIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0741T","description":"REM AUTON ALG NSLN DOS CAL SW DATA COLL TRANSMIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG DEV EVAL SS LD ICDS  LT  90D TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0579T","description":"REM INTERROG DEV EVAL SS LD ICDS  LT  90D TECH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG DEV EVAL SS LD ICDS  LT 90D PHY/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0578T","description":"REM INTERROG DEV EVAL SS LD ICDS  LT 90D PHY/QHP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MULTI DAY CPLX UROFLOWMETRY DEV SPLY W/REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0812T","description":"REM MULTI DAY CPLX UROFLOWMETRY DEV SPLY W/REPRT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MULTI DAY CPLX UROFLOWMETRY SETUP and PT EDUCAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0811T","description":"REM MULTI DAY CPLX UROFLOWMETRY SETUP and PT EDUCAJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM R-T MTN CAP NREHAB THER SPLY and TECH SPRT 30D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0733T","description":"REM R-T MTN CAP NREHAB THER SPLY and TECH SPRT 30D","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM R-T MTN CAP NREHAB THER TX MGMT SVCS CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0734T","description":"REM R-T MTN CAP NREHAB THER TX MGMT SVCS CAL MO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM THER MNTR OL DIG COG BHV THER PRGRM CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0703T","description":"REM THER MNTR OL DIG COG BHV THER PRGRM CAL MO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM THER MNTR OL DIG COG BHV THER PRGRM SPLY TCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0702T","description":"REM THER MNTR OL DIG COG BHV THER PRGRM SPLY TCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM TX AMBLYOPIA DEV SUPPLY 1ST SETUP and PT EDUCAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0704T","description":"REM TX AMBLYOPIA DEV SUPPLY 1ST SETUP and PT EDUCAJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM TX AMBLYOPIA I and R PHYS/QHP PER CALENDAR MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0706T","description":"REM TX AMBLYOPIA I and R PHYS/QHP PER CALENDAR MONTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM TX AMBLYOPIA TCH SPRT MIN 18 TRAING HR EA 30","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0705T","description":"REM TX AMBLYOPIA TCH SPRT MIN 18 TRAING HR EA 30","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOV UNI PART DENTUR - 1 PECE CAST METL MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5283","description":"REMOV UNI PART DENTUR - 1 PECE CAST METL MAND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVABLE APPLIANCE THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8210","description":"REMOVABLE APPLIANCE THERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVABLE ORTHODONTIC RETAINER ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8681","description":"REMOVABLE ORTHODONTIC RETAINER ADJUSTMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVABLE UNI PART DENTUR - 1 PECE CAST METL MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5282","description":"REMOVABLE UNI PART DENTUR - 1 PECE CAST METL MAX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL AND REINSERTION OF SINUS TARSI IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0511T","description":"REMOVAL AND REINSERTION OF SINUS TARSI IMPLANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL BRONCHIAL VALVE INITIAL LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0251T","description":"REMOVAL BRONCHIAL VALVE INITIAL LOBE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CARDIAC MODULJ SYS PLS GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0412T","description":"REMOVAL CARDIAC MODULJ SYS PLS GENERATOR ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0413T","description":"REMOVAL CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CHEST WALL RESPIRATORY ELTRODE/ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0468T","description":"REMOVAL CHEST WALL RESPIRATORY ELTRODE/ARRAY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL COMPLETE IIMS INCL IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0530T","description":"REMOVAL COMPLETE IIMS INCL IMG S AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FIXED BILATERAL SPACE MAINTAINER - MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1558","description":"REMOVAL FIXED BILATERAL SPACE MAINTAINER - MAND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY SHOULDER COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23332","description":"REMOVAL FOREIGN BODY SHOULDER COMPLICATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY SHOULDER DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23331","description":"REMOVAL FOREIGN BODY SHOULDER DEEP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IIMS ELECTRODE ONLY INCL IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0531T","description":"REMOVAL IIMS ELECTRODE ONLY INCL IMG S AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IIMS IMPLANTABLE MNTR ONLY INCL IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0532T","description":"REMOVAL IIMS IMPLANTABLE MNTR ONLY INCL IMG S AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT BODY NOT RQR BONE RMVL/FLAP ELEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6105","description":"REMOVAL IMPLANT BODY NOT RQR BONE RMVL/FLAP ELEV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTED VESTIBULAR DEVICE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0726T","description":"REMOVAL IMPLANTED VESTIBULAR DEVICE UNILATERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL NSTIM SYSTEM SLEEP APNEA PLS GENERATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0428T","description":"REMOVAL NSTIM SYSTEM SLEEP APNEA PLS GENERATOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL NSTIM SYSTEM SLEEP APNEA SENSING LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0429T","description":"REMOVAL NSTIM SYSTEM SLEEP APNEA SENSING LEAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL NSTIM SYSTEM SLEEP APNEA STIMJ LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0430T","description":"REMOVAL NSTIM SYSTEM SLEEP APNEA STIMJ LEAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF ABDOMINAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49200","description":"REMOVAL OF ABDOMINAL LESION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF ANAL CRYPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46210","description":"REMOVAL OF ANAL CRYPT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF ANAL CRYPTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46211","description":"REMOVAL OF ANAL CRYPTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF BRAIN TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61542","description":"REMOVAL OF BRAIN TISSUE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF FIXED BILATERAL SPACE MNTNR - MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1557","description":"REMOVAL OF FIXED BILATERAL SPACE MNTNR - MAX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF FIXED SPACE MAINTAINER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1555","description":"REMOVAL OF FIXED SPACE MAINTAINER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF FIXED UNI SPACE MAINTAINER - PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1556","description":"REMOVAL OF FIXED UNI SPACE MAINTAINER - PER QUAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF NON-RESORBABLE BARRIER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4286","description":"REMOVAL OF NON-RESORBABLE BARRIER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF SINUS TARSI IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0510T","description":"REMOVAL OF SINUS TARSI IMPLANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF TEMP ANCHORAGE DEVICE REQUIRING FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7298","description":"REMOVAL OF TEMP ANCHORAGE DEVICE REQUIRING FLAP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF TEMP ANCHORAGE DEVICE REQUIRING FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7299","description":"REMOVAL OF TEMP ANCHORAGE DEVICE REQUIRING FLAP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF TEMPORARY ANCHORAGE DEVICE W/O FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7300","description":"REMOVAL OF TEMPORARY ANCHORAGE DEVICE W/O FLAP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERM PM P GEN REPL PM P GEN D LEAD SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7540","description":"REMOVAL PERM PM P GEN REPL PM P GEN D LEAD SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PG WCS LV PACG BATTERY COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0518T","description":"REMOVAL PG WCS LV PACG BATTERY COMPONENT ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PG WCS LV PACING BOTH COMPONENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0861T","description":"REMOVAL PG WCS LV PACING BOTH COMPONENTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PULSE GENERATOR ONLY ISDSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0682T","description":"REMOVAL PULSE GENERATOR ONLY ISDSS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PULSE GENERATOR VAGUS NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0315T","description":"REMOVAL PULSE GENERATOR VAGUS NERVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL REVISION OF CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29715","description":"REMOVAL REVISION OF CAST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES UNDER ANESTHESIA SAME SURGEON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15850","description":"REMOVAL SUTURES UNDER ANESTHESIA SAME SURGEON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL and RPLCMT PG WCS LV PACG BOTH COMPONENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0519T","description":"REMOVAL and RPLCMT PG WCS LV PACG BOTH COMPONENTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE ABDOM LESION, COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49201","description":"REMOVE ABDOM LESION, COMPLEX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE BILE DUCT STONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47630","description":"REMOVE BILE DUCT STONE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE BROKEN IMPLANT RETAINING SCREW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6096","description":"REMOVE BROKEN IMPLANT RETAINING SCREW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE INTERIM IMPLANT COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6198","description":"REMOVE INTERIM IMPLANT COMPONENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE NAIL BED TIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11752","description":"REMOVE NAIL BED TIP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE RESIDUAL PROSTATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52620","description":"REMOVE RESIDUAL PROSTATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV FIX ORTHODONT APPLINC RSN OTH THAN CMPL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8695","description":"REMV FIX ORTHODONT APPLINC RSN OTH THAN CMPL TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV UNI PART DENTUR - ONE PECE RSN - PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5286","description":"REMV UNI PART DENTUR - ONE PECE RSN - PER QUAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV UNI PRT DNTUR - 1 PECE FLEX BASE - PER QUAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5284","description":"REMV UNI PRT DNTUR - 1 PECE FLEX BASE - PER QUAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMV UNILAT PART DENTUR - 1 PIECE CAST METAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5281","description":"REMV UNILAT PART DENTUR - 1 PIECE CAST METAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM IMPLT AORTIC VENTR COMPLETE SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0455T","description":"REMVL PERM IMPLT AORTIC VENTR COMPLETE SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM IMPLT AORTIC VENTR MECHANO-ELEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0457T","description":"REMVL PERM IMPLT AORTIC VENTR MECHANO-ELEC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM IMPLT AORTIC VENTR SUBQ ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0458T","description":"REMVL PERM IMPLT AORTIC VENTR SUBQ ELECTRODE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM IMPLT AORTIC VENTR VASC HEMO SEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0456T","description":"REMVL PERM IMPLT AORTIC VENTR VASC HEMO SEAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ANGIOGRAPHY, SAME TIME AS CARDIAC CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0275","description":"RENAL ANGIOGRAPHY, SAME TIME AS CARDIAC CATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REP CONGN MALFORM FETUS PROC PRFRM UTERO NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2409","description":"REP CONGN MALFORM FETUS PROC PRFRM UTERO NOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REP INTRADISC ANNULUS; OVER  1LEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0063T","description":"REP INTRADISC ANNULUS; OVER  1LEV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REP INTRADISC ANNULUS;1 LEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0062T","description":"REP INTRADISC ANNULUS;1 LEV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REP NONROUTINE SRVC DME RQR SKL TECH LABR-15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1340","description":"REP NONROUTINE SRVC DME RQR SKL TECH LABR-15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REP/MOD MAXLOFCE PROSTH LABR EA 15 MIN NON-MD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8049","description":"REP/MOD MAXLOFCE PROSTH LABR EA 15 MIN NON-MD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR A-V ANEURYSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36834","description":"REPAIR A-V ANEURYSM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR AND/OR RELINE OF OCCLUSAL GUARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9942","description":"REPAIR AND/OR RELINE OF OCCLUSAL GUARD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ARTERIAL BLOCKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35450","description":"REPAIR ARTERIAL BLOCKAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ARTERIAL BLOCKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35452","description":"REPAIR ARTERIAL BLOCKAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ARTERIAL BLOCKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35454","description":"REPAIR ARTERIAL BLOCKAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ARTERIAL BLOCKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35456","description":"REPAIR ARTERIAL BLOCKAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ARTERIAL BLOCKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35458","description":"REPAIR ARTERIAL BLOCKAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ARTERIAL BLOCKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35459","description":"REPAIR ARTERIAL BLOCKAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ARTERIAL BLOCKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35470","description":"REPAIR ARTERIAL BLOCKAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ARTERIAL BLOCKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35471","description":"REPAIR ARTERIAL BLOCKAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ARTERIAL BLOCKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35472","description":"REPAIR ARTERIAL BLOCKAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ARTERIAL BLOCKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35473","description":"REPAIR ARTERIAL BLOCKAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ARTERIAL BLOCKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35474","description":"REPAIR ARTERIAL BLOCKAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ARTERIAL BLOCKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35475","description":"REPAIR ARTERIAL BLOCKAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ARTERIAL BLOCKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75962","description":"REPAIR ARTERIAL BLOCKAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ARTERIAL BLOCKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75966","description":"REPAIR ARTERIAL BLOCKAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ARTERY BLOCKAGE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75964","description":"REPAIR ARTERY BLOCKAGE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ARTERY BLOCKAGE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75968","description":"REPAIR ARTERY BLOCKAGE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BROKEN COMPLETE DENTURE BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5510","description":"REPAIR BROKEN COMPLETE DENTURE BASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BROKEN COMPLETE DENTURE BASE MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5511","description":"REPAIR BROKEN COMPLETE DENTURE BASE MANDIBULAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BROKEN COMPLETE DENTURE BASE MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5512","description":"REPAIR BROKEN COMPLETE DENTURE BASE MAXILLARY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CAST FRAMEWORK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5620","description":"REPAIR CAST FRAMEWORK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CAST PARTIAL FRAMEWORK MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5621","description":"REPAIR CAST PARTIAL FRAMEWORK MANDIBULAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CAST PARTIAL FRAMEWORK MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5622","description":"REPAIR CAST PARTIAL FRAMEWORK MAXILLARY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CCAM IN THE FETUS PROCEDURE IN UTERO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2402","description":"REPAIR CCAM IN THE FETUS PROCEDURE IN UTERO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX EYELID NOSE EAR LIP 1.0 CM OR LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13150","description":"REPAIR COMPLEX EYELID NOSE EAR LIP 1.0 CM OR LESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGN DIAPHRAGMAT HERNIA FETUS IN UTERO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2400","description":"REPAIR CONGN DIAPHRAGMAT HERNIA FETUS IN UTERO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DEVICE URINARY INCONT WITHOUT SLING GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2631","description":"REPAIR DEVICE URINARY INCONT WITHOUT SLING GRAFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DEVICE URINARY INCONTINENCE W/SLING GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1771","description":"REPAIR DEVICE URINARY INCONTINENCE W/SLING GRAFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EPS IN FETUS PROCEDURE PERFORMED IN UTERO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2403","description":"REPAIR EPS IN FETUS PROCEDURE PERFORMED IN UTERO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FIRST ABDOMINAL WALL HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49560","description":"REPAIR FIRST ABDOMINAL WALL HERNIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FIXED RETAINER INCL REATTACHMENT - MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8702","description":"REPAIR FIXED RETAINER INCL REATTACHMENT - MAND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MYELOMENINGOCELE FETUS PROC PRFRM UTERO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2404","description":"REPAIR MYELOMENINGOCELE FETUS PROC PRFRM UTERO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASAL VEST LATERAL WALL STEN W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9749","description":"REPAIR NASAL VEST LATERAL WALL STEN W/IMPLANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF AORTIC VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33400","description":"REPAIR OF AORTIC VALVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF DIAPHRAGM HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39520","description":"REPAIR OF DIAPHRAGM HERNIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF DIAPHRAGM HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39530","description":"REPAIR OF DIAPHRAGM HERNIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF DIAPHRAGM HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39531","description":"REPAIR OF DIAPHRAGM HERNIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF FIXED RETAINER INCL REATTACHMENT - MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8701","description":"REPAIR OF FIXED RETAINER INCL REATTACHMENT - MAX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF FIXED RETAINERS INCLUDES REATTACHMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8694","description":"REPAIR OF FIXED RETAINERS INCLUDES REATTACHMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF IMPLANT/ABUTMENT SUPPORTED PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6090","description":"REPAIR OF IMPLANT/ABUTMENT SUPPORTED PROSTHESIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF ORTHODONTIC APPLIANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8691","description":"REPAIR OF ORTHODONTIC APPLIANCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF ORTHODONTIC APPLIANCE - MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8697","description":"REPAIR OF ORTHODONTIC APPLIANCE - MANDIBULAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF ORTHODONTIC APPLIANCE - MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8696","description":"REPAIR OF ORTHODONTIC APPLIANCE - MAXILLARY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF TENNIS ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24350","description":"REPAIR OF TENNIS ELBOW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF TENNIS ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24351","description":"REPAIR OF TENNIS ELBOW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF TENNIS ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24352","description":"REPAIR OF TENNIS ELBOW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OF TENNIS ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24354","description":"REPAIR OF TENNIS ELBOW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PARAESOPHAGEAL HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39502","description":"REPAIR PARAESOPHAGEAL HERNIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21742","description":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21743","description":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RESIN DENTURE BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5610","description":"REPAIR RESIN DENTURE BASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RESIN PARTIAL DENTURE BASE MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5611","description":"REPAIR RESIN PARTIAL DENTURE BASE MANDIBULAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RESIN PARTIAL DENTURE BASE MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5612","description":"REPAIR RESIN PARTIAL DENTURE BASE MAXILLARY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SCLERAL STAPHYLOMA W O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66220","description":"REPAIR SCLERAL STAPHYLOMA W O GRAFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR URINARY TRACT OBSTRUCTION FETUS IN UTERO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2401","description":"REPAIR URINARY TRACT OBSTRUCTION FETUS IN UTERO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR VENOUS BLOCKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35460","description":"REPAIR VENOUS BLOCKAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR VENOUS BLOCKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35476","description":"REPAIR VENOUS BLOCKAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR VENOUS BLOCKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75978","description":"REPAIR VENOUS BLOCKAGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR and REFITTING SPECTACLE PROSTH FOR APHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92371","description":"REPAIR and REFITTING SPECTACLE PROSTH FOR APHAKIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR/MOD AUGMENTATIV COMMUNICAT SYSTEM/DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5336","description":"REPAIR/MOD AUGMENTATIV COMMUNICAT SYSTEM/DEVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL STRAP ANY ORTHOSIS ALL CMPNTS ANY LEN TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4002","description":"REPL STRAP ANY ORTHOSIS ALL CMPNTS ANY LEN TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE ALL TEETH AND ACRYLIC CAST METAL FRMEWRK MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5670","description":"REPLACE ALL TEETH AND ACRYLIC CAST METAL FRMEWRK MAX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE ALL TEETH AND ACRYLIC CAST METL FRMEWRK MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5671","description":"REPLACE ALL TEETH AND ACRYLIC CAST METL FRMEWRK MAND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE AORTIC VALVE TTHORAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0318T","description":"REPLACE AORTIC VALVE TTHORAC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE BROKEN TEETH PARTIAL DENTURE PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5640","description":"REPLACE BROKEN TEETH PARTIAL DENTURE PER TOOTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE MISSING/BROKEN TEETH - COMPLETE DENTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5520","description":"REPLACE MISSING/BROKEN TEETH - COMPLETE DENTURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT BATTRY PT-OWNED EAR PULSE GEN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4638","description":"REPLACEMENT BATTRY PT-OWNED EAR PULSE GEN EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT OF LOST OR BROKEN RETAINER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8692","description":"REPLACEMENT OF LOST OR BROKEN RETAINER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT OF LOST OR BROKEN RETAINER - MAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8704","description":"REPLACEMENT OF LOST OR BROKEN RETAINER - MAND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT OF LOST OR BROKEN RETAINER - MAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8703","description":"REPLACEMENT OF LOST OR BROKEN RETAINER - MAX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT PULSE GENERATOR VAGUS NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0316T","description":"REPLACEMENT PULSE GENERATOR VAGUS NERVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLC OF REPLC PART NAT TOOTH BORNE PROS PER ATT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5867","description":"REPLC OF REPLC PART NAT TOOTH BORNE PROS PER ATT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT BULB THERAPEUTIC LIGHT BOX TABOP MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4634","description":"REPLCMT BULB THERAPEUTIC LIGHT BOX TABOP MODEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3570F","description":"REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPORT ON TRANSMITTED ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93014","description":"REPORT ON TRANSMITTED ECG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOS AORTIC VENTR DEV SUBCUTANEOUS ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0460T","description":"REPOS AORTIC VENTR DEV SUBCUTANEOUS ELECTRODE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOS AORTIC VENTR DEV SUBQ ELECT CONTRPULSJ DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0461T","description":"REPOS AORTIC VENTR DEV SUBQ ELECT CONTRPULSJ DEV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOS CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0415T","description":"REPOS CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOS NSTIM SYSTEM SLEEP APNEA SENSING LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0433T","description":"REPOS NSTIM SYSTEM SLEEP APNEA SENSING LEAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOS NSTIM SYSTEM SLEEP APNEA STIMJ LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0432T","description":"REPOS NSTIM SYSTEM SLEEP APNEA STIMJ LEAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOS PREV IMPL SS IMPLTBL DFB PACING ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0574T","description":"REPOS PREV IMPL SS IMPLTBL DFB PACING ELTRD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOS SUBQ DEFIB ELTRD  AND  GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0325T","description":"REPOS SUBQ DEFIB ELTRD  AND  GEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPR SACROCOC TERATOMA FETUS IN UTERO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2405","description":"REPR SACROCOC TERATOMA FETUS IN UTERO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPR/SRVC FOR O2 EQP RQR TECH CMPNT PER 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0740","description":"REPR/SRVC FOR O2 EQP RQR TECH CMPNT PER 15 MINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REREPAIR DETACHED RETINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67112","description":"REREPAIR DETACHED RETINA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDENTIAL CARE NOS WAIVER; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2033","description":"RESIDENTIAL CARE NOS WAIVER; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDENTIAL CARE NOS WAIVER; PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2032","description":"RESIDENTIAL CARE NOS WAIVER; PER MONTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESOURCE-INT SRVC PT SPZ M-ASST TECH MED NEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0501","description":"RESOURCE-INT SRVC PT SPZ M-ASST TECH MED NEC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIR PTHGN MULT REV TRANS AND AMP PRB TECH 14 TRGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0098U","description":"RESPIR PTHGN MULT REV TRANS AND AMP PRB TECH 14 TRGT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIR PTHGN MULT REV TRANS AND AMP PRB TECH 20 TRGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0099U","description":"RESPIR PTHGN MULT REV TRANS AND AMP PRB TECH 20 TRGT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIR PTHGN MULT REV TRANS AND AMP PRB TECH 21 TRGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0100U","description":"RESPIR PTHGN MULT REV TRANS AND AMP PRB TECH 21 TRGT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPITE CARE IN THE HOME PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9125","description":"RESPITE CARE IN THE HOME PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPITE CARE SERVICES UP TO 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1005","description":"RESPITE CARE SERVICES UP TO 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTORIGIN PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4191","description":"RESTORIGIN PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESTRAINT ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0710","description":"RESTRAINT ANY TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN - PORCELN FUSED TIT  AND  TIT ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6753","description":"RETAINER CROWN - PORCELN FUSED TIT  AND  TIT ALLOYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETAINER CROWN 3/4 - TITANIUM  and  TITANIUM ALLOYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6784","description":"RETAINER CROWN 3/4 - TITANIUM  and  TITANIUM ALLOYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETINAL PROS ALL INT AND EXT CMPNT; ADD-ON TO C1841","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1842","description":"RETINAL PROS ALL INT AND EXT CMPNT; ADD-ON TO C1841","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETINAL PROSTH INCL ALL INTRL  AND  EXTERNL CMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1841","description":"RETINAL PROSTH INCL ALL INTRL  AND  EXTERNL CMPNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETINAL TAMPONADE DEVICE SILICONE OIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1814","description":"RETINAL TAMPONADE DEVICE SILICONE OIL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETRIEVAL DEVICE INSERTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1773","description":"RETRIEVAL DEVICE INSERTABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETRIEVAL DEVICE INSERTABLE LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1603","description":"RETRIEVAL DEVICE INSERTABLE LASER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REV CERVICAL ARTIFIC DISC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0096T","description":"REV CERVICAL ARTIFIC DISC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REV EVAC LE AA; IV LITHOTRIPSY  and  ATHERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9766","description":"REV EVAC LE AA; IV LITHOTRIPSY  and  ATHERECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REV EVAR LE AA; IV LITHO and TL STNT PLCMT and ATHERECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9767","description":"REV EVAR LE AA; IV LITHO and TL STNT PLCMT and ATHERECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REV EVAR LE AA;IV LITHOTRIPSY  and  TL STENT PLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9765","description":"REV EVAR LE AA;IV LITHOTRIPSY  and  TL STENT PLCMT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REV EVAR OPN/PERQ LE AA; NO TIB/PR;IV LITHOTRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9764","description":"REV EVAR OPN/PERQ LE AA; NO TIB/PR;IV LITHOTRIP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVASC EVAR FMRL PA UNI WITH TL STENT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7535","description":"REVASC EVAR FMRL PA UNI WITH TL STENT PLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVASC EVR FMRL PA UNI TRANSLUMINAL ANGIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7531","description":"REVASC EVR FMRL PA UNI TRANSLUMINAL ANGIOPLASTY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVASCULARIZATION EVAR FMRL PA UNILATERAL ATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7534","description":"REVASCULARIZATION EVAR FMRL PA UNILATERAL ATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISE ESOPHAGUS  AND  STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43324","description":"REVISE ESOPHAGUS  AND  STOMACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISE ESOPHAGUS  AND  STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43326","description":"REVISE ESOPHAGUS  AND  STOMACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISE REINSERT BILE TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47530","description":"REVISE REINSERT BILE TUBE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISE REMOVE NEUROELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63660","description":"REVISE REMOVE NEUROELECTRODE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION FENESTRATION OPERATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69840","description":"REVISION FENESTRATION OPERATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION OF LARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31582","description":"REVISION OF LARYNX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION OF LARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31588","description":"REVISION OF LARYNX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION OF PULMONARY VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33472","description":"REVISION OF PULMONARY VALVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION OF TENNIS ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24356","description":"REVISION OF TENNIS ELBOW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/REMOVAL NSTIM ELTRD ARRAY PN INT NSTIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64598","description":"REVISION/REMOVAL NSTIM ELTRD ARRAY PN INT NSTIM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVITA PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4180","description":"REVITA PER SQUARE CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ GASTRODUOL ANAST W/RCNSTJ W/O VAGOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43850","description":"REVJ GASTRODUOL ANAST W/RCNSTJ W/O VAGOTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ GASTRODUOL ANAST W/RCNSTJ W/VGTMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43855","description":"REVJ GASTRODUOL ANAST W/RCNSTJ W/VGTMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY W/APICECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69605","description":"REVJ MASTOIDECTOMY W/APICECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ RPLCMT/RMVL TLMBR/LMBR VRT BODY TETHERING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0790T","description":"REVJ RPLCMT/RMVL TLMBR/LMBR VRT BODY TETHERING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT DISC ARTHRP ANT APPR CRV EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0098T","description":"REVJ TOT DISC ARTHRP ANT APPR CRV EA NTRSPC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT DISC ARTHRP ANT APPR LMBR EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0165T","description":"REVJ TOT DISC ARTHRP ANT APPR LMBR EA NTRSPC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/ OR RMVL PERQ ISDNS BLDR DYSF PTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0588T","description":"REVJ/ OR RMVL PERQ ISDNS BLDR DYSF PTN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL INTEGRATED NSTIMJ SYS PTN SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0818T","description":"REVJ/RMVL INTEGRATED NSTIMJ SYS PTN SUBCUTANEOUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL INTEGRATED NSTIMJ SYS PTN SUBFASCIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0819T","description":"REVJ/RMVL INTEGRATED NSTIMJ SYS PTN SUBFASCIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL NSTIM ELTRD RA SAC W/INTEGRATED NSTIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0787T","description":"REVJ/RMVL NSTIM ELTRD RA SAC W/INTEGRATED NSTIM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL NSTIM ELTRD RA SPI W/INTEGRATED NSTIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0785T","description":"REVJ/RMVL NSTIM ELTRD RA SPI W/INTEGRATED NSTIM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RPLMNT CH WAL RESPIR ELTRD  and  CONJ PULSE GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0467T","description":"REVJ/RPLMNT CH WAL RESPIR ELTRD  and  CONJ PULSE GEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVOSHIELD Plus  AMNIOTIC BARRIER PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4289","description":"REVOSHIELD Plus  AMNIOTIC BARRIER PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RF BLADDER NECK MICROREMODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0193T","description":"RF BLADDER NECK MICROREMODEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RF SPECTRSC R-T INTRAOP MRGN ASSMT AT PRTL MAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0546T","description":"RF SPECTRSC R-T INTRAOP MRGN ASSMT AT PRTL MAST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RF TONGUE BASE VOL REDUXN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0088T","description":"RF TONGUE BASE VOL REDUXN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RH IMMUNE GLOBULIN RHOGAM ORDERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8809","description":"RH IMMUNE GLOBULIN RHOGAM ORDERED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RH-IMMUNOGLOBULIN NOT ORDERED REASONS DOC CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8810","description":"RH-IMMUNOGLOBULIN NOT ORDERED REASONS DOC CLIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHC W IMPLANTATION WIRELESS PRESS SENS PULM ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9741","description":"RHC W IMPLANTATION WIRELESS PRESS SENS PULM ART","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINOPHOTOTHERAPY APPLICATION LIGHT BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0168T","description":"RHINOPHOTOTHERAPY APPLICATION LIGHT BILATERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90384","description":"RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHO(D) IMMUNE GLOBULIN HUMAN IV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90386","description":"RHO(D) IMMUNE GLOBULIN HUMAN IV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHO(D) IMMUNE GLOBULIN HUMAN MINI-DOSE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90385","description":"RHO(D) IMMUNE GLOBULIN HUMAN MINI-DOSE IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY CHEEK CHIN  AND  NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15828","description":"RHYTIDECTOMY CHEEK CHIN  AND  NECK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY FOREHEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15824","description":"RHYTIDECTOMY FOREHEAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY GLABELLAR FROWN LINES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15826","description":"RHYTIDECTOMY GLABELLAR FROWN LINES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15825","description":"RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTIDECTOMY SMAS FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15829","description":"RHYTIDECTOMY SMAS FLAP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIMANTADINE HCI ORAL BRAND PER 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9036","description":"RIMANTADINE HCI ORAL BRAND PER 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIMANTADINE HCI ORAL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9020","description":"RIMANTADINE HCI ORAL PER 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ F STS CH RSD SC LW BACK IMPR PT NOT APP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8661","description":"RISK-ADJ F STS CH RSD SC LW BACK IMPR PT NOT APP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ F STS CHG RSD SC N CR M TS RIBS SC Equal to 0 OR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8671","description":"RISK-ADJ F STS CHG RSD SC N CR M TS RIBS SC Equal to 0 OR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FUNC STS CHG SC KNEE IMPAIR PT NOT APP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8649","description":"RISK-ADJ FUNC STS CHG SC KNEE IMPAIR PT NOT APP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FXN ST CHG RSD SC SHLDR IMR PT NOT APP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8665","description":"RISK-ADJ FXN ST CHG RSD SC SHLDR IMR PT NOT APP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RISK-ADJ FXN STS CHG RSD SC N CR M TS RIBS SC LT 0","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8672","description":"RISK-ADJ FXN STS CHG RSD SC N CR M TS RIBS SC LT 0","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMV SUTURES; PHYS NOT PHYS WHO ORIGLY CLOS WND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0630","description":"RMV SUTURES; PHYS NOT PHYS WHO ORIGLY CLOS WND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  REPLC SUBQ PLS GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0323T","description":"RMVL  AND  REPLC SUBQ PLS GEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPL CARDIAC MODULJ SYS PLS GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0414T","description":"RMVL  AND  RPL CARDIAC MODULJ SYS PLS GENERATOR ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97602","description":"RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPL INT GLU SNSR INS 180 D IMPL SNSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0309","description":"RMVL IMPL INT GLU SNSR INS 180 D IMPL SNSR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLANTABLE PT-ACTIVATED CAR EVENT RECORDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33284","description":"RMVL IMPLANTABLE PT-ACTIVATED CAR EVENT RECORDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL INTRACARDIAC ISCHEMIA MONITORING DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0307T","description":"RMVL INTRACARDIAC ISCHEMIA MONITORING DEVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LNG OTH THN TOT PNUMEC WEDGE RESCJ 1 MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32500","description":"RMVL LNG OTH THN TOT PNUMEC WEDGE RESCJ 1 MLT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SUBQ DEFIB ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0324T","description":"RMVL SUBQ DEFIB ELECTRODE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0573T","description":"RMVL SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SUBSTERNAL IMPLTBL DFB PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0580T","description":"RMVL SUBSTERNAL IMPLTBL DFB PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT APPR CRV EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0095T","description":"RMVL TOT DISC ARTHRP ANT APPR CRV EA NTRSPC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT APPR LMBR EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0164T","description":"RMVL TOT DISC ARTHRP ANT APPR LMBR EA NTRSPC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRNSPLED INTESTINAL ALLOGRAFT COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44137","description":"RMVL TRNSPLED INTESTINAL ALLOGRAFT COMPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VENTR DEV XTRCORP PRQ T-SEPTAL 1 DUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0050T","description":"RMVL VENTR DEV XTRCORP PRQ T-SEPTAL 1 DUAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL W RINSJ IMPLANTABLE CONTRACEPTIVE CAPSULES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11977","description":"RMVL W RINSJ IMPLANTABLE CONTRACEPTIVE CAPSULES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RIMPLTJ ANT SGM IO NBIODGRD RX ELUT IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0661T","description":"RMVL and RIMPLTJ ANT SGM IO NBIODGRD RX ELUT IMPLT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT IMPLANTED VESTIBULAR DEVICE UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0727T","description":"RMVL and RPLCMT IMPLANTED VESTIBULAR DEVICE UNI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL and RPLCMT PG WCS LV PACG BATTERY COMPNT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0520T","description":"RMVL and RPLCMT PG WCS LV PACG BATTERY COMPNT ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/RPLC NSTIM SYSTEM SLEEP APNEA PLS GENERATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0431T","description":"RMVL/RPLC NSTIM SYSTEM SLEEP APNEA PLS GENERATOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNA TST HC DOC 12 MO PRI INIT AV TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9203","description":"RNA TST HC DOC 12 MO PRI INIT AV TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNA TST HC NOT DOC 12 MO PRI INT AV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9204","description":"RNA TST HC NOT DOC 12 MO PRI INT AV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROLAPITANT ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9981","description":"ROLAPITANT ORAL 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROTARY WING AIR MILEAGE PER STATUTE MILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0436","description":"ROTARY WING AIR MILEAGE PER STATUTE MILE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE FOOT CARE; PER VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0390","description":"ROUTINE FOOT CARE; PER VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OPHTH EXAM INCL REFRACTION; EST PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0621","description":"ROUTINE OPHTH EXAM INCL REFRACTION; EST PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OPHTH EXAM INCL REFRACTION; NEW PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0620","description":"ROUTINE OPHTH EXAM INCL REFRACTION; NEW PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ INFLAMMATORY PROCESS LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78805","description":"RP LOCLZJ INFLAMMATORY PROCESS LIMITED AREA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ INFLAMMATORY PROCESS TOMOG SPECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78807","description":"RP LOCLZJ INFLAMMATORY PROCESS TOMOG SPECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ INFLAMMATORY PROCESS WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78806","description":"RP LOCLZJ INFLAMMATORY PROCESS WHOLE BODY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79300","description":"RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79445","description":"RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY UNLISTED PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79999","description":"RP THERAPY UNLISTED PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLC RSTR MTL CL ACC OPNG SR IMPL SUP PROS/IMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6197","description":"RPLC RSTR MTL CL ACC OPNG SR IMPL SUP PROS/IMPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT RPR IMPLTBL COMPNT TOT RPLCMT HRT EX THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0053T","description":"RPLCMT RPR IMPLTBL COMPNT TOT RPLCMT HRT EX THRC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT RPR THRC UNIT TOT RPLCMT HRT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0052T","description":"RPLCMT RPR THRC UNIT TOT RPLCMT HRT SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLMCT OSSEOINTEGRATE IMPLNT W/MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69718","description":"RPLMCT OSSEOINTEGRATE IMPLNT W/MASTOIDECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INCAL/VNT HERNIA INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49561","description":"RPR 1ST INCAL/VNT HERNIA INCARCERATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR EPIGASTRIC HERNIA INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49572","description":"RPR EPIGASTRIC HERNIA INCARCERATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR EPIGASTRIC HERNIA REDUCIBLE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49570","description":"RPR EPIGASTRIC HERNIA REDUCIBLE SPX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT INCAL/VNT HERNIA INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49566","description":"RPR RECRT INCAL/VNT HERNIA INCARCERATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT INCAL/VNT HERNIA REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49565","description":"RPR RECRT INCAL/VNT HERNIA REDUCIBLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SPIGELIAN HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49590","description":"RPR SPIGELIAN HERNIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR UMBILICAL HERNIA  LT  5 YRS INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49582","description":"RPR UMBILICAL HERNIA  LT  5 YRS INCARCERATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR UMBILICAL HERNIA  LT  5 YRS REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49580","description":"RPR UMBILICAL HERNIA  LT  5 YRS REDUCIBLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR UMBILICAL HERNIA AGE 5 YRS OR GT  INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49587","description":"RPR UMBILICAL HERNIA AGE 5 YRS OR GT  INCARCERATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR UMBILICAL HRNA 5 YRS OR GT  REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49585","description":"RPR UMBILICAL HRNA 5 YRS OR GT  REDUCIBLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSK-A FCN ST CHG RSD SC N CR M TS RIB RSN NO GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8674","description":"RSK-A FCN ST CHG RSD SC N CR M TS RIB RSN NO GVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSK-AD F ST CHG RSD SC ELB WR H IMPR PT NOT APP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8669","description":"RSK-AD F ST CHG RSD SC ELB WR H IMPR PT NOT APP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSK-ADJ F ST CH RSD SC N CR M TS RIBS PT NOT APP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8673","description":"RSK-ADJ F ST CH RSD SC N CR M TS RIBS PT NOT APP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSK-ADJ FNC STS CHG RSD SCS HIP IMPR  PT NOT APP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8653","description":"RSK-ADJ FNC STS CHG RSD SCS HIP IMPR  PT NOT APP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSK-ADJ FXN STS CH RESD SC FT ANK IMPR PT N APP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8657","description":"RSK-ADJ FXN STS CH RESD SC FT ANK IMPR PT N APP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV IG, IV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90379","description":"RSV IG, IV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90380","description":"RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90678","description":"RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RT  AND  LT HEART CATHETERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93526","description":"RT  AND  LT HEART CATHETERS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RT  AND  LT HEART CATHETERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93527","description":"RT  AND  LT HEART CATHETERS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RT  AND  LT HEART CATHETERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93528","description":"RT  AND  LT HEART CATHETERS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RT, LT HEART CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93529","description":"RT, LT HEART CATHETERIZATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTA POLARIZE SCAN OC SCR W/ONSITE AUTO RSLT BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0469T","description":"RTA POLARIZE SCAN OC SCR W/ONSITE AUTO RSLT BI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTM DEV SPLY DATA CBT 16-30 DAYS IN 30 D PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98978","description":"RTM DEV SPLY DATA CBT 16-30 DAYS IN 30 D PD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RUBELLA VACCINE SC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90706","description":"RUBELLA VACCINE SC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVRS OSMOSIS H2O PURIFICATION SYSTEM HEMODIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1610","description":"RVRS OSMOSIS H2O PURIFICATION SYSTEM HEMODIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVSC EVAR OPEN/PC TIBIAL/PA;IVASC LITH  and  TL SP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9773","description":"RVSC EVAR OPEN/PC TIBIAL/PA;IVASC LITH  and  TL SP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVSC EVAR OPN/P TIB/PA;IVASC LITH and TL STNT PL and ATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9775","description":"RVSC EVAR OPN/P TIB/PA;IVASC LITH and TL STNT PL and ATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVSC EVAR OPN/PERC TIB/PER ART IVASC LITHOTRIPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9772","description":"RVSC EVAR OPN/PERC TIB/PER ART IVASC LITHOTRIPSY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RVSC EVAR OPN/PERQ TIB/PER ART;IVASC LITH and ATHREC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9774","description":"RVSC EVAR OPN/PERQ TIB/PER ART;IVASC LITH and ATHREC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX GENERATED  AND  TRANSMIT VIA QUALIFIED ERX SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8553","description":"RX GENERATED  AND  TRANSMIT VIA QUALIFIED ERX SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX METAB ADVRS RX RXN DNA 22 GENES BLD BUCCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0015U","description":"RX METAB ADVRS RX RXN DNA 22 GENES BLD BUCCAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX METAB ADVRS RX RXN and RSPSE VARIANT ALYS 25 GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0434U","description":"RX METAB ADVRS RX RXN and RSPSE VARIANT ALYS 25 GEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX METAB ADVRS RX RXN and RSPSE VRNT ALYS 33 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0438U","description":"RX METAB ADVRS RX RXN and RSPSE VRNT ALYS 33 GENES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX METAB GENOMIC SEQ ALYS PANEL AT LEAST 6 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81418","description":"RX METAB GENOMIC SEQ ALYS PANEL AT LEAST 6 GENES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX METAB GENOMIC SEQ ALYS PANEL AT LEAST 6 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81418","description":"RX METAB GENOMIC SEQ ALYS PANEL AT LEAST 6 GENES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX SCR MX RX CLASS HI CMPLX PT ENC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0431","description":"RX SCR MX RX CLASS HI CMPLX PT ENC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX TEST PRESUMPTIVE URINE W DEF CONFIRMATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0020U","description":"RX TEST PRESUMPTIVE URINE W DEF CONFIRMATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS OU XCPT APHAKIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92314","description":"RX and FITG C-LENS TECH CRNL LENS OU XCPT APHAKIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Right heart catheterization","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93501","description":"Right heart catheterization","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"S-CR TEST NOT PERF RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8776","description":"S-CR TEST NOT PERF RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SACRAL NERVE STIMULATION TEST LEAD EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4290","description":"SACRAL NERVE STIMULATION TEST LEAD EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS RIGD/SEMI-RIGD PANELS CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0624","description":"SACROILIAC ORTHOSIS RIGD/SEMI-RIGD PANELS CUSTOM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY CNCRNS SCR PROV  AND  IF POS THEN DOC MIT REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9922","description":"SAFETY CNCRNS SCR PROV  AND  IF POS THEN DOC MIT REC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0700","description":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY EYEGLASS FRAMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0516","description":"SAFETY EYEGLASS FRAMES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALES TAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9985","description":"SALES TAX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALES TAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9999","description":"SALES TAX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVA TEST HORMONE LEVEL; DURING MENOPAUSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3650","description":"SALIVA TEST HORMONE LEVEL; DURING MENOPAUSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVA TST HORMONE LEVL; ASSESS PRTERM LABR RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3652","description":"SALIVA TST HORMONE LEVL; ASSESS PRTERM LABR RISK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAMARIUM SM-153 LEXIDRONAM TX DOSE TO 150 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9604","description":"SAMARIUM SM-153 LEXIDRONAM TX DOSE TO 150 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAMARIUM SM-153 LEXIDRONAMM TX PER 50 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9605","description":"SAMARIUM SM-153 LEXIDRONAMM TX PER 50 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAMPLE INTESTINAL CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89100","description":"SAMPLE INTESTINAL CONTENTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAMPLE INTESTINAL CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89105","description":"SAMPLE INTESTINAL CONTENTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAMPLE STOMACH CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89130","description":"SAMPLE STOMACH CONTENTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAMPLE STOMACH CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89132","description":"SAMPLE STOMACH CONTENTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAMPLE STOMACH CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89135","description":"SAMPLE STOMACH CONTENTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAMPLE STOMACH CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89136","description":"SAMPLE STOMACH CONTENTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAMPLE STOMACH CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89140","description":"SAMPLE STOMACH CONTENTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAMPLE STOMACH CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89141","description":"SAMPLE STOMACH CONTENTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAQUINAVIR 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0140","description":"SAQUINAVIR 200 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 5MCG/0.5ML ADJT AS03 EMULSN IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91310","description":"SARSCOV2 VACC 5MCG/0.5ML ADJT AS03 EMULSN IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 100 MCG/0.5 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91301","description":"SARSCOV2 VACCINE 100 MCG/0.5 ML IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 10MCG/0.2ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91307","description":"SARSCOV2 VACCINE 10MCG/0.2ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 25 MCG/0.25 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91311","description":"SARSCOV2 VACCINE 25 MCG/0.25 ML IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 30MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91305","description":"SARSCOV2 VACCINE 30MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 3MCG/0.2ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91308","description":"SARSCOV2 VACCINE 3MCG/0.2ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 50 MCG/0.25 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91306","description":"SARSCOV2 VACCINE 50 MCG/0.25 ML IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE 50 MCG/0.5 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91309","description":"SARSCOV2 VACCINE 50 MCG/0.5 ML IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE AD26 5X1010 VP/0.5ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91303","description":"SARSCOV2 VACCINE AD26 5X1010 VP/0.5ML IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE BIVALENT 10 MCG/0.2 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91315","description":"SARSCOV2 VACCINE BIVALENT 10 MCG/0.2 ML IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE BIVALENT 10 MCG/0.2 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91316","description":"SARSCOV2 VACCINE BIVALENT 10 MCG/0.2 ML IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE BIVALENT 25 MCG/0.25 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91314","description":"SARSCOV2 VACCINE BIVALENT 25 MCG/0.25 ML IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE BIVALENT 3 MCG/0.2 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91317","description":"SARSCOV2 VACCINE BIVALENT 3 MCG/0.2 ML IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE BIVALENT 30 MCG/0.3 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91312","description":"SARSCOV2 VACCINE BIVALENT 30 MCG/0.3 ML IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE BIVALENT 50 MCG/0.5 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91313","description":"SARSCOV2 VACCINE BIVALENT 50 MCG/0.5 ML IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE CHADOX1 5X1010 VP/0.5ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91302","description":"SARSCOV2 VACCINE CHADOX1 5X1010 VP/0.5ML IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE DIL RECON 30 MCG/0.3 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91300","description":"SARSCOV2 VACCINE DIL RECON 30 MCG/0.3 ML IM USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99233","description":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99232","description":"SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":96.8626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":96.8626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99231","description":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99307","description":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.1818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ OBSERVATION CARE/DAY 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99224","description":"SBSQ OBSERVATION CARE/DAY 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ OBSERVATION CARE/DAY 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99225","description":"SBSQ OBSERVATION CARE/DAY 25 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ OBSERVATION CARE/DAY 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99226","description":"SBSQ OBSERVATION CARE/DAY 35 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ PLMT DRUG ELUTING OCULAR INSERT UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0445T","description":"SBSQ PLMT DRUG ELUTING OCULAR INSERT UNI/BI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99493","description":"SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":186.3637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":186.3637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC THER INFUSION, ADDL HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90770","description":"SC THER INFUSION, ADDL HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC THER INFUSION, RESET PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90771","description":"SC THER INFUSION, RESET PUMP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC THER INFUSION, UP TO 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90769","description":"SC THER INFUSION, UP TO 1 HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCALE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1639","description":"SCALE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCANNING ELECTRON MICROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88349","description":"SCANNING ELECTRON MICROSCOPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCHED INTERDISCIPLINARY TEAM CONF W/PT PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0175","description":"SCHED INTERDISCIPLINARY TEAM CONF W/PT PRESENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCHOOL-BASED IND EDUCATION PROGRAM SERV BUNDLED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1018","description":"SCHOOL-BASED IND EDUCATION PROGRAM SERV BUNDLED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCINTIMAMMOGRAPHY UNI INCL SUPPLY RADIOPHARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8080","description":"SCINTIMAMMOGRAPHY UNI INCL SUPPLY RADIOPHARM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL APPLICATION TANTALUM RING PROTON BEAM TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8030","description":"SCLERAL APPLICATION TANTALUM RING PROTON BEAM TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL FISTULIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0123T","description":"SCLERAL FISTULIZATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL LENS LIQUID BANDAGE DEVICE PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0515","description":"SCLERAL LENS LIQUID BANDAGE DEVICE PER LENS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CLIN DEP DOC FU NOT PT NOT ELIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8940","description":"SCR CLIN DEP DOC FU NOT PT NOT ELIG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CONSIDER IND PARTICIP SPEC PROG PROJ/TX PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1023","description":"SCR CONSIDER IND PARTICIP SPEC PROG PROJ/TX PER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SLEEP RELATED BREATHING DISORDERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9957","description":"SCREENING FOR SLEEP RELATED BREATHING DISORDERS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING MAMMOGRAPHY BIL INCL CAD WHEN PERFORMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0202","description":"SCREENING MAMMOGRAPHY BIL INCL CAD WHEN PERFORMD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING OF A PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0190","description":"SCREENING OF A PATIENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PROCTOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0601","description":"SCREENING PROCTOSCOPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING STI WITH FOUR LABORATORY TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0450","description":"SCREENING STI WITH FOUR LABORATORY TESTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99173","description":"SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCULPTRA INJECTION, 0.1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2027","description":"SCULPTRA INJECTION, 0.1 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEALANT PULMONARY LIQUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2615","description":"SEALANT PULMONARY LIQUID","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEALANT REPAIR - PER TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1353","description":"SEALANT REPAIR - PER TOOTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT CONTOURED PED WC INCL FIX ATTCH HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2294","description":"SEAT CONTOURED PED WC INCL FIX ATTCH HARDWARE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT LIFT MECH PLACED OVER/TOP TOILET ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0172","description":"SEAT LIFT MECH PLACED OVER/TOP TOILET ANY TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2292","description":"SEAT PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECRETORY TYPE II PHOSPHOLIPASE A2 (SPLA2-IIA)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0423T","description":"SECRETORY TYPE II PHOSPHOLIPASE A2 (SPLA2-IIA)","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECTION RECURRENT LARYNGEAL NERVE THER UNI SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31595","description":"SECTION RECURRENT LARYNGEAL NERVE THER UNI SPX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELECT HEAD HYPOTHER NEONATE AGE 28 DAYS OR LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0261T","description":"SELECT HEAD HYPOTHER NEONATE AGE 28 DAYS OR LESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELECTIVE HEAD HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99482","description":"SELECTIVE HEAD HYPOTHERMIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF CARE FCN LIM GOAL TX OUTSET  AND  D C END REP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8988","description":"SELF CARE FCN LIM GOAL TX OUTSET  AND  D C END REP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-IMPLANTABLE MIDDLE EAR HEARING PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5095","description":"SEMI-IMPLANTABLE MIDDLE EAR HEARING PROSTHESIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-PRECISION ABUTMENT - PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6191","description":"SEMI-PRECISION ABUTMENT - PLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-PRECISION ATTACHMENT - PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6192","description":"SEMI-PRECISION ATTACHMENT - PLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMI-PRECISION ATTACHMENT ABUTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6052","description":"SEMI-PRECISION ATTACHMENT ABUTMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSOR; INVASV DSPBL USE ARTIF PANCREAS DEVC SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1035","description":"SENSOR; INVASV DSPBL USE ARTIF PANCREAS DEVC SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8878","description":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEO ADJUSTABLE RANCHO TYPE PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3965","description":"SEO ADJUSTABLE RANCHO TYPE PREFABRICATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEO ELEVATED PROXIMAL ARM SUPPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3970","description":"SEO ELEVATED PROXIMAL ARM SUPPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEO FRICTION ARM SUPPORT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3968","description":"SEO FRICTION ARM SUPPORT PREFABRICATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEO MOBILE ARM SUPPORT ATTACHED TO WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3964","description":"SEO MOBILE ARM SUPPORT ATTACHED TO WHEELCHAIR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEO MOBILE ARM SUPPORT SUPINATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3974","description":"SEO MOBILE ARM SUPPORT SUPINATOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEO MONOSUSPENSION ARM AND HAND SUPPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3969","description":"SEO MONOSUSPENSION ARM AND HAND SUPPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEO OFFSET LATERAL ROCKER ARM WITH ELASTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3972","description":"SEO OFFSET LATERAL ROCKER ARM WITH ELASTIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEO RECLINING PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3966","description":"SEO RECLINING PREFABRICATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEP SEAT LIFT MECH PT OWN FURN-ELEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0628","description":"SEP SEAT LIFT MECH PT OWN FURN-ELEC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPTAL DEFECT IMPLANT SYSTEM INTRACARDIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1817","description":"SEPTAL DEFECT IMPLANT SYSTEM INTRACARDIAC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM CLOTTING TIME TUBE FOR DIALYSIS PER 50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4771","description":"SERUM CLOTTING TIME TUBE FOR DIALYSIS PER 50","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM CREATININE TEST RSLT DOC AND REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8774","description":"SERUM CREATININE TEST RSLT DOC AND REV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERV PROVIDED AS PART OF PHASE 1 CLINICAL TRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9988","description":"SERV PROVIDED AS PART OF PHASE 1 CLINICAL TRIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE ASSESSMENT/PLAN CARE DEVELOPMENT WAIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2024","description":"SERVICE ASSESSMENT/PLAN CARE DEVELOPMENT WAIVER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE DX EVAL/TX MH/SUD 15-29 MIN PROV REMOTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7900","description":"SERVICE DX EVAL/TX MH/SUD 15-29 MIN PROV REMOTE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE DX EVAL/TX MH/SUD 30-60 MIN PROV REMOTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7901","description":"SERVICE DX EVAL/TX MH/SUD 30-60 MIN PROV REMOTE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE OCCUP THERAP HOME HLTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0152","description":"SERVICE OCCUP THERAP HOME HLTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE OT ASSIST HOME HEALTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0158","description":"SERVICE OT ASSIST HOME HEALTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE PHYS THERAP HOME HLTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0151","description":"SERVICE PHYS THERAP HOME HLTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICE SLP HH EST/DEL SPCH-LANG PATH MP EA 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0161","description":"SERVICE SLP HH EST/DEL SPCH-LANG PATH MP EA 15 M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES BY A JOURNAL-LISTED CS NURSE PER HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9901","description":"SERVICES BY A JOURNAL-LISTED CS NURSE PER HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES FOR HIGH INTENSITY CLINICAL SRVC ASSOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2020","description":"SERVICES FOR HIGH INTENSITY CLINICAL SRVC ASSOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES OT HOME HEALTH EST/DEL OT MP EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0160","description":"SERVICES OT HOME HEALTH EST/DEL OT MP EA 15 MINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9473","description":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9475","description":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9476","description":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PERFORM BY DOULA BIRTH WORKER PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1033","description":"SERVICES PERFORM BY DOULA BIRTH WORKER PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PRFRM BY DOULA BIRTH WORKER PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1032","description":"SERVICES PRFRM BY DOULA BIRTH WORKER PER 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PRFRM BY OT ASST HH SETTING EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2169","description":"SERVICES PRFRM BY OT ASST HH SETTING EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PRFRM BY PT ASST HH SETTING EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2168","description":"SERVICES PRFRM BY PT ASST HH SETTING EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PROVIDED AS PART PHASE II CLIN TRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9990","description":"SERVICES PROVIDED AS PART PHASE II CLIN TRIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PROVIDED AS PART PHASE III CLIN TRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9991","description":"SERVICES PROVIDED AS PART PHASE III CLIN TRIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PROVIDED BTW 10 PM AND 8 AM AT 24-HR FACI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99053","description":"SERVICES PROVIDED BTW 10 PM AND 8 AM AT 24-HR FACI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PROVIDED IN AN URGENT CARE CENTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9088","description":"SERVICES PROVIDED IN AN URGENT CARE CENTER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99050","description":"SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PT ASSIST HOME HEALTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0157","description":"SERVICES PT ASSIST HOME HEALTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PT HOME HEALTH EST/DEL PT MP EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0159","description":"SERVICES PT HOME HEALTH EST/DEL PT MP EA 15 MINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES QUALIFIED NURSING AIDE UP TO 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1004","description":"SERVICES QUALIFIED NURSING AIDE UP TO 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES SUP  and  ACC USED IN HOME FOR ADM IVIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2052","description":"SERVICES SUP  and  ACC USED IN HOME FOR ADM IVIG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERITY ANGINA NOT ASSESS ACCORD LEVEL ACTIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8789","description":"SEVERITY ANGINA NOT ASSESS ACCORD LEVEL ACTIVITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEVERITY OF ANGINA ASSESS ACCORD LEVEL ACTIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8786","description":"SEVERITY OF ANGINA ASSESS ACCORD LEVEL ACTIVITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEXUAL OFFENDER TREATMENT SERVICE PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2028","description":"SEXUAL OFFENDER TREATMENT SERVICE PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEXUAL OFFENDER TREATMENT SERVICE PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2029","description":"SEXUAL OFFENDER TREATMENT SERVICE PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHINGRIX VACCINE DOCUMENTED AS ADM/PREV RECEIVED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1064","description":"SHINGRIX VACCINE DOCUMENTED AS ADM/PREV RECEIVED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHINGRIX VACCINE WAS NOT ADM FOR RSN DOC CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1065","description":"SHINGRIX VACCINE WAS NOT ADM FOR RSN DOC CLIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHINGRIX VACCINE WAS NOT ADM FOR RSN DOC CLIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"M1066","description":"SHINGRIX VACCINE WAS NOT ADM FOR RSN DOC CLIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR ORTHOT DBL SHLDR ELAST PREFAB INCL FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3652","description":"SHLDR ORTHOT DBL SHLDR ELAST PREFAB INCL FIT and ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR ORTHOTIC 1 SHLDR ELAST PREFAB INCL FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3651","description":"SHLDR ORTHOTIC 1 SHLDR ELAST PREFAB INCL FIT and ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT INCREMENT SENSITIVITY INDEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92564","description":"SHORT INCREMENT SENSITIVITY INDEX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS JNT DSGN NO JNTS PREFAB CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3677","description":"SHOULDER ORTHOSIS JNT DSGN NO JNTS PREFAB CUSTOM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS JOINT DESIGN NO JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3678","description":"SHOULDER ORTHOSIS JOINT DESIGN NO JOINT PREFAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER SLING/VEST ABDUCTION RESTRAINER PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4566","description":"SHOULDER SLING/VEST ABDUCTION RESTRAINER PREFAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT ACCESSORY HEMODIALYSIS ANY TYPE  EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4740","description":"SHUNT ACCESSORY HEMODIALYSIS ANY TYPE  EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOENDOSCOPY CAPTURE AND INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0371","description":"SIALOENDOSCOPY CAPTURE AND INTERPRETATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0310","description":"SIALOGRAPHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMO FLEX; ABL TUMOR POLYP OTH LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6022","description":"SIGMO FLEX; ABL TUMOR POLYP OTH LES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMO FLEX; TRANSENDO STENT PLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6023","description":"SIGMO FLEX; TRANSENDO STENT PLCMT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY W ABLATE TUMR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45339","description":"SIGMOIDOSCOPY W ABLATE TUMR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY W STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45345","description":"SIGMOIDOSCOPY W STENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGN LANGUAGE/ORAL INTEPR SERVICES PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1013","description":"SIGN LANGUAGE/ORAL INTEPR SERVICES PER 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGNATURE APATCH PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4260","description":"SIGNATURE APATCH PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGNS OR SYMPTOMS OF MELANOMA PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8750","description":"SIGNS OR SYMPTOMS OF MELANOMA PRESENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SILDENAFIL CITRATE 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0090","description":"SILDENAFIL CITRATE 25 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMULTANEOUS PANCREAS KIDNEY TRANSPLANTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2065","description":"SIMULTANEOUS PANCREAS KIDNEY TRANSPLANTATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE LENS SPECTACLE MOUNTED LOW VISION AIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2610","description":"SINGLE LENS SPECTACLE MOUNTED LOW VISION AIDS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE MUTATION  ANALYSIS BRST OVAR CANCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3822","description":"SINGLE MUTATION  ANALYSIS BRST OVAR CANCER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE MUTATION ANALYSIS APC FOR SUSCEPIB FAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3834","description":"SINGLE MUTATION ANALYSIS APC FOR SUSCEPIB FAP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE VISION PRESCRIPTION LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0504","description":"SINGLE VISION PRESCRIPTION LENS PER LENS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE VIT/MINERAL/TRACE ELEMENT ORAL-DOSE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9152","description":"SINGLE VIT/MINERAL/TRACE ELEMENT ORAL-DOSE NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIPULEUCEL-T, PER INFUSION, MIN OF 500 MILLION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9273","description":"SIPULEUCEL-T, PER INFUSION, MIN OF 500 MILLION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKD SRVC LPN TRAIN and /EDU PT/FAM HH/HOSPC E 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0496","description":"SKD SRVC LPN TRAIN and /EDU PT/FAM HH/HOSPC E 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKD SRVC RN TRAIN and /EDU PT/FAM HH/HOSPC EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0495","description":"SKD SRVC RN TRAIN and /EDU PT/FAM HH/HOSPC EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKILLED SERVICE RN M AND E PLAN OF CARE; EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0162","description":"SKILLED SERVICE RN M AND E PLAN OF CARE; EA 15 MINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKILLED SERVICES RN OBV  AND  ASMT PT COND EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0493","description":"SKILLED SERVICES RN OBV  AND  ASMT PT COND EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKILLED SRVC LPN OBS  AND  ASMT PT COND EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0494","description":"SKILLED SRVC LPN OBS  AND  ASMT PT COND EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN DERMAL SUBSTITUTE, EACH ADDITIONAL 25 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0441","description":"SKIN DERMAL SUBSTITUTE, EACH ADDITIONAL 25 SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN DERMAL SUBSTITUTE, INITIAL 25 SQ CM OR LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0440","description":"SKIN DERMAL SUBSTITUTE, INITIAL 25 SQ CM OR LESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN GLYCATION SPECTROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0233T","description":"SKIN GLYCATION SPECTROSCOPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTCT AND PSTN WC CUSHN  WD UNDER  22 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0736","description":"SKIN PROTCT AND PSTN WC CUSHN  WD UNDER  22 IN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT WC  CUSH WDTH  UNDER  22 INCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0734","description":"SKIN PROTECT WC  CUSH WDTH  UNDER  22 INCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT WC CUSH WDTH 22 INCH OR GRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0735","description":"SKIN PROTECT WC CUSH WDTH 22 INCH OR GRT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN SUBST INTEGRA MESH BILAYER MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9363","description":"SKIN SUBST INTEGRA MESH BILAYER MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN SUBST TISSUEMEND PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4109","description":"SKIN SUBST TISSUEMEND PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN SUBSTITUTE SYNTHETIC RESORBABLE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1849","description":"SKIN SUBSTITUTE SYNTHETIC RESORBABLE PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST, UNLISTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86586","description":"SKIN TEST, UNLISTED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TISSUE REARRANGEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14300","description":"SKIN TISSUE REARRANGEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKINTE PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4200","description":"SKINTE PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKL SRVC LPN RN OBS AND ASSESS 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0163","description":"SKL SRVC LPN RN OBS AND ASSESS 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKL SRVC NRS TRN AND  ED HH HSPC 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0164","description":"SKL SRVC NRS TRN AND  ED HH HSPC 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTCT AND PSTN WC CUSH  WD22 IN  OR GRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0737","description":"SKN PROTCT AND PSTN WC CUSH  WD22 IN  OR GRT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SL EXP FCN LMT GOAL STS TX EPIS D C END REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9163","description":"SL EXP FCN LMT GOAL STS TX EPIS D C END REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEVE INTERMITTENT LIMB COMPRS DEVC REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4600","description":"SLEEVE INTERMITTENT LIMB COMPRS DEVC REPL EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLF CARE FCN LIM CUR TX EPIS OUTSET REP INTERVLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8987","description":"SLF CARE FCN LIM CUR TX EPIS OUTSET REP INTERVLS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLF CARE FUNC LIM D C STS D C FROM TX TO END REP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8989","description":"SLF CARE FUNC LIM D C STS D C FROM TX TO END REP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMALL ANIMAL INOCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87001","description":"SMALL ANIMAL INOCULATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMALLPOX and MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90611","description":"SMALLPOX and MONKEYPOX VACC 0.5ML DOS FOR SUBQ USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMMG CNCRNT APPL IMU SNR MEAS ROM POST GAIT MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0778T","description":"SMMG CNCRNT APPL IMU SNR MEAS ROM POST GAIT MUSC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9016","description":"SMOK CESSATN CNSL IND ABSNCE/ADD OTH E and M-SESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOK STS SHS HOME NOT ASSESS NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8751","description":"SMOK STS SHS HOME NOT ASSESS NO RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOK TOB CESS CNSL; INTRMD 3-10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0436","description":"SMOK TOB CESS CNSL; INTRMD 3-10 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKELESS TOBACCO CURRENT, NO 2ND HAND EXPOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8688","description":"SMOKELESS TOBACCO CURRENT, NO 2ND HAND EXPOSURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING  AND  TOB CESS CNSL INT  OVER 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0437","description":"SMOKING  AND  TOB CESS CNSL INT  OVER 10 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING AND TOB CESSATION CNSL; INTENSIVE  OVER  10 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0376","description":"SMOKING AND TOB CESSATION CNSL; INTENSIVE  OVER  10 MINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING AND TOB CESSATION CNSL; INTERMED 3-10 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0375","description":"SMOKING AND TOB CESSATION CNSL; INTERMED 3-10 MINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING AND TOBACCO CESSATION COUNSELING VISIT  OVER  10 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"c9802","description":"SMOKING AND TOBACCO CESSATION COUNSELING VISIT  OVER  10 M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING AND TOBACCO CESSATION COUNSELING VISIT, 3-10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9801","description":"SMOKING AND TOBACCO CESSATION COUNSELING VISIT, 3-10 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING CESSATION CLASSES NON-PHYSICIAN PER SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9453","description":"SMOKING CESSATION CLASSES NON-PHYSICIAN PER SESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING CESSATION GUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4995","description":"SMOKING CESSATION GUM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMOKING CESSATION TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9075","description":"SMOKING CESSATION TREATMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP CL FR DNA/DNA and RNA CPY NMBR MCRST INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81464","description":"SO NEO GSAP CL FR DNA/DNA and RNA CPY NMBR MCRST INS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP CL FR DNA/DNA and RNA CPY NMBR MCRST INS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81464","description":"SO NEO GSAP CL FR DNA/DNA and RNA CPY NMBR MCRST INS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP CLL FR DNA ALYS CPY NMBR and MCRSTL INS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81463","description":"SO NEO GSAP CLL FR DNA ALYS CPY NMBR and MCRSTL INS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP CLL FR DNA/DNA and RNA CPY NMBR and REARGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81462","description":"SO NEO GSAP CLL FR DNA/DNA and RNA CPY NMBR and REARGMT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP DNA ALY CPY NMBR and MICROSATELLITE INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81458","description":"SO NEO GSAP DNA ALY CPY NMBR and MICROSATELLITE INS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP DNA ALY CPY NMBR and MICROSATELLITE INS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81458","description":"SO NEO GSAP DNA ALY CPY NMBR and MICROSATELLITE INS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP DNA ALYS MICROSATELLITE INSTABILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81457","description":"SO NEO GSAP DNA ALYS MICROSATELLITE INSTABILITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP DNA ALYS/DNA and RNA CPY NMBR MCRSTL INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81459","description":"SO NEO GSAP DNA ALYS/DNA and RNA CPY NMBR MCRSTL INS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP DNA ALYS/DNA and RNA CPY NMBR MCRSTL INS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81459","description":"SO NEO GSAP DNA ALYS/DNA and RNA CPY NMBR MCRSTL INS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NONTORSN JNT TURNBUCKLE CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3673","description":"SO NONTORSN JNT TURNBUCKLE CSTM FAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO W O JOINTS CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3672","description":"SO W O JOINTS CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOCIAL WORK VISIT IN THE HOME PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9127","description":"SOCIAL WORK VISIT IN THE HOME PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SODIUM PHOSPHATE P-32 THERAPEUTIC PER MILLICURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9563","description":"SODIUM PHOSPHATE P-32 THERAPEUTIC PER MILLICURIE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOFT INTERFACE FOR HELMET REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8004","description":"SOFT INTERFACE FOR HELMET REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOFT LINER FOR CMPL/PRTL REM DENTURE - INDIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5765","description":"SOFT LINER FOR CMPL/PRTL REM DENTURE - INDIRECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOLID ORGAN; TRANSPLANTATION  AND  RELATED COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2152","description":"SOLID ORGAN; TRANSPLANTATION  AND  RELATED COMP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SORBENT CARTRIDGES FOR HEMODIALYSIS PER 10","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1636","description":"SORBENT CARTRIDGES FOR HEMODIALYSIS PER 10","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SP CLCT SARS-COV2 COVID19 FRM SNF/LAB ANY SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2024","description":"SP CLCT SARS-COV2 COVID19 FRM SNF/LAB ANY SPEC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SP RSLT FEV1  GT or equal to  60 PCT  FEV1/FVC  GT or equa","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8925","description":"SP RSLT FEV1  GT or equal to  60 PCT  FEV1/FVC  GT or equa","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPACE MAINTAIN- REMOVABLE- BILATERAL, MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1526","description":"SPACE MAINTAIN- REMOVABLE- BILATERAL, MAXILLARY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPACE MAINTAINER - FIXED-BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1515","description":"SPACE MAINTAINER - FIXED-BILATERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPACE MAINTAINER - REMOVABLE - BILATERAL, MANDIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1527","description":"SPACE MAINTAINER - REMOVABLE - BILATERAL, MANDIB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPACE MAINTAINER - REMOVABLE-BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1525","description":"SPACE MAINTAINER - REMOVABLE-BILATERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC CLCT FOR SARS-COV-2 COVID-19 ANY SPEC SRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2023","description":"SPEC CLCT FOR SARS-COV-2 COVID-19 ANY SPEC SRC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC REPORTS  GT  USUAL MED COMUNICAJ/STAND RPRTG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99080","description":"SPEC REPORTS  GT  USUAL MED COMUNICAJ/STAND RPRTG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC SITE OTH THAN ANAT LOC LUNG NOT NSCLC/NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9424","description":"SPEC SITE OTH THAN ANAT LOC LUNG NOT NSCLC/NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 STAINS FOR MICROORGANISMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0476","description":"SPECIAL STAINS FOR MICROORGANISMS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAINS NOT FOR MICROORGANISMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0477","description":"SPECIAL STAINS NOT FOR MICROORGANISMS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL X-RAY CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76350","description":"SPECIAL X-RAY CONTRAST STUDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALIZED CHILDCARE WAIVER; PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2027","description":"SPECIALIZED CHILDCARE WAIVER; PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALIZED CHILDCARE WAIVER; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2026","description":"SPECIALIZED CHILDCARE WAIVER; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALIZED MEDICAL EQUIPMENT NOS WAIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2029","description":"SPECIALIZED MEDICAL EQUIPMENT NOS WAIVER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALIZED SUPPLY NOT OTH SPECIFIED WAIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2028","description":"SPECIALIZED SUPPLY NOT OTH SPECIFIED WAIVER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALTY BIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2299","description":"SPECIALTY BIFOCAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALTY OCCUPATIONAL MULTIFOCAL LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2786","description":"SPECIALTY OCCUPATIONAL MULTIFOCAL LENS PER LENS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALTY TRIFOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2399","description":"SPECIALTY TRIFOCAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8797","description":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECTROSCOP EVAL EXPIRED GAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0064T","description":"SPECTROSCOP EVAL EXPIRED GAS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECULOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0031T","description":"SPECULOSCOPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECULOSCOPY W DIRECT SAMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0032T","description":"SPECULOSCOPY W DIRECT SAMPLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AID PROSTHESIS ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5953","description":"SPEECH AID PROSTHESIS ADULT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AID PROSTHESIS MODIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5960","description":"SPEECH AID PROSTHESIS MODIFICATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AID PROSTHESIS PEDIATRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5952","description":"SPEECH AID PROSTHESIS PEDIATRIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOM THRESHLD AUTO W/SPEECH RECOGNITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0211T","description":"SPEECH AUDIOM THRESHLD AUTO W/SPEECH RECOGNITION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOMETRY THRESHOLD AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0210T","description":"SPEECH AUDIOMETRY THRESHOLD AUTOMATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH GEN SOFTWARE PROG PC/PERS DIGITAL ASSIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2511","description":"SPEECH GEN SOFTWARE PROG PC/PERS DIGITAL ASSIST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH SCREENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5362","description":"SPEECH SCREENING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH THERAPY IN THE HOME PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9128","description":"SPEECH THERAPY IN THE HOME PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH VOLUME MODULATION SYS INCL ALL COMP  and  ACC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1009","description":"SPEECH VOLUME MODULATION SYS INCL ALL COMP  and  ACC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPERM EVAL HYALURONAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0087T","description":"SPERM EVAL HYALURONAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPERM PROCUREMENT AND CRYOPRES SERVICES; INIT VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4030","description":"SPERM PROCUREMENT AND CRYOPRES SERVICES; INIT VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPERM PROCUREMENT AND CRYOPRES SRVC; SUBSQT VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4031","description":"SPERM PROCUREMENT AND CRYOPRES SRVC; SUBSQT VISIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL IMPLTJ ARTIF SPHNCTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46762","description":"SPHNCTROP ANAL IMPLTJ ARTIF SPHNCTR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHYGMOMANOMETER/BP APPARATUS W/CUFF and STETHOSCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4660","description":"SPHYGMOMANOMETER/BP APPARATUS W/CUFF and STETHOSCOPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPINAL ORTHOSIS NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1499","description":"SPINAL ORTHOSIS NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETER ELECTRONIC INCLUDES ALL ACCESSORIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0487","description":"SPIROMETER ELECTRONIC INCLUDES ALL ACCESSORIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETER NONELECTRONIC INCL ALL ACCESSORIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9284","description":"SPIROMETER NONELECTRONIC INCL ALL ACCESSORIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPIROMETRY RESULTS DOCUMENTED AND REVIEWED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3023F","description":"SPIROMETRY RESULTS DOCUMENTED AND REVIEWED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NOT PRFRM/DOC REASON NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8926","description":"SPIROMETRY TEST NOT PRFRM/DOC REASON NOT GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPKN LANG COMP FCN LMT GOAL TX EPIS D C END RPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9160","description":"SPKN LANG COMP FCN LMT GOAL TX EPIS D C END RPRT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPKT  V GREATER THAN EQUAL TO 1.2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8713","description":"SPKT  V GREATER THAN EQUAL TO 1.2","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPKT V LESS THAN 1.2 RSN NOT GIVEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8717","description":"SPKT V LESS THAN 1.2 RSN NOT GIVEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL MAINT INS IP DR ADJ USING TX CONT G SENS WK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4226","description":"SPL MAINT INS IP DR ADJ USING TX CONT G SENS WK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINT - EXTRA-COR; NATURAL TEETH/PROSTH CROWNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4323","description":"SPLINT - EXTRA-COR; NATURAL TEETH/PROSTH CROWNS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINT - INTRA-COR; NATURAL TEETH/PROSTH CROWNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4322","description":"SPLINT - INTRA-COR; NATURAL TEETH/PROSTH CROWNS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINT PREFABRICATED DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8450","description":"SPLINT PREFABRICATED DIGIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINT PREFABRICATED ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8452","description":"SPLINT PREFABRICATED ELBOW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINT PREFABRICATED WRIST OR ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8451","description":"SPLINT PREFABRICATED WRIST OR ANKLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINT SUPPLIES MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4051","description":"SPLINT SUPPLIES MISCELLANEOUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLITTING BLOOD/BLOOD PRODUCTS EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86985","description":"SPLITTING BLOOD/BLOOD PRODUCTS EACH UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPOK LANG COMP SCORE AT DISCH HIGHER THAN ADMIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8603","description":"SPOK LANG COMP SCORE AT DISCH HIGHER THAN ADMIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPOK LANG EXP SCORE AT DISCH HIGHER THAN ADMIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8618","description":"SPOK LANG EXP SCORE AT DISCH HIGHER THAN ADMIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPOK LANG SCORE AT DIS NOT HIGHER, REAS NOT SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8619","description":"SPOK LANG SCORE AT DIS NOT HIGHER, REAS NOT SPEC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPOKEN LANG COMP LIMIT CURR STATUS TX OUTSET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9159","description":"SPOKEN LANG COMP LIMIT CURR STATUS TX OUTSET","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPOKEN LANG COMP LIMIT D C STATUS AT D C TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9161","description":"SPOKEN LANG COMP LIMIT D C STATUS AT D C TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPOKEN LANG EXPRESS LIMIT CURR STATUS TX OUTSET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9162","description":"SPOKEN LANG EXPRESS LIMIT CURR STATUS TX OUTSET","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPOKEN LANG EXPRESS LIMIT D C STATUS AT D C TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9164","description":"SPOKEN LANG EXPRESS LIMIT D C STATUS AT D C TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPOKEN LANG SCORE AT DISCH NOT HGHR, NO REAS SPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8604","description":"SPOKEN LANG SCORE AT DISCH NOT HGHR, NO REAS SPC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPONTANEOUS NYSTAGMUS W/GAZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92531","description":"SPONTANEOUS NYSTAGMUS W/GAZE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPRM ID FROM ASPIR OTH/THN SEMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89257","description":"SPRM ID FROM ASPIR OTH/THN SEMINAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPRM ID FROM TSTIS TISS FRSH/CRYOPRSRVD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89264","description":"SPRM ID FROM TSTIS TISS FRSH/CRYOPRSRVD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPRM ISOL CPLX PREP INSEMINATION/DX SEMEN ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89261","description":"SPRM ISOL CPLX PREP INSEMINATION/DX SEMEN ALYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPRM ISOL SMPL PREP INSEMINATION/DX SEMEN ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89260","description":"SPRM ISOL SMPL PREP INSEMINATION/DX SEMEN ALYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9342","description":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC CLINICAL SOCIAL WORKER HH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0155","description":"SRVC CLINICAL SOCIAL WORKER HH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC DX EVAL/TX MH/SUD EA 15 MIN PRVD REM HS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7902","description":"SRVC DX EVAL/TX MH/SUD EA 15 MIN PRVD REM HS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC HH/HOSPICE AIDE IN HH/HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0156","description":"SRVC HH/HOSPICE AIDE IN HH/HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC IV INFUS IG PRIOR ADMIN PER INFUS ENCOUNTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0332","description":"SRVC IV INFUS IG PRIOR ADMIN PER INFUS ENCOUNTER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC JOURNAL-LISTED CS PRACT HEALING PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9900","description":"SRVC JOURNAL-LISTED CS PRACT HEALING PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9477","description":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9474","description":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9478","description":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9479","description":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC PROVIDED OUTSIDE UNITED STATES OF AMERICA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9989","description":"SRVC PROVIDED OUTSIDE UNITED STATES OF AMERICA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SRVC SPCH and LANG PATH HOME HLTH/HOSPICE EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0153","description":"SRVC SPCH and LANG PATH HOME HLTH/HOSPICE EA 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAGING LAPAROTOMY HODGKINS DISEASE/LYMPHOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49220","description":"STAGING LAPAROTOMY HODGKINS DISEASE/LYMPHOMA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARDIZED COGNITIVE PERFORMANCE TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96125","description":"STANDARDIZED COGNITIVE PERFORMANCE TESTING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":141.6131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDING FRAME/TABLE SYS MOBILE DYNAMIC ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0642","description":"STANDING FRAME/TABLE SYS MOBILE DYNAMIC ANY SZ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDING FRAME/TABLE SYS MULTI-POSITION ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0641","description":"STANDING FRAME/TABLE SYS MULTI-POSITION ANY SZ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDING FRAME/TABLE SYS ONE POSITION ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0638","description":"STANDING FRAME/TABLE SYS ONE POSITION ANY SZ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STARCH GRANULES, FECES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89225","description":"STARCH GRANULES, FECES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAT LABORATORY REQUEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3600","description":"STAT LABORATORY REQUEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 NOT PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9443","description":"STATIN NOT PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN NOT PRESCRIBED FOR DOC RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9442","description":"STATIN NOT PRESCRIBED FOR DOC RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN PRESCRIBED AT DISCHARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9441","description":"STATIN PRESCRIBED AT DISCHARGE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIN THER PRESCRIBED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"4002F","description":"STATIN THER PRESCRIBED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATION COMPRS GAS SYS PURCH; FLWMTR HUMIDFR NEB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0425","description":"STATION COMPRS GAS SYS PURCH; FLWMTR HUMIDFR NEB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATION LQD O2 SYS PURCH;RESRVOR HUMIDFR NEBULZR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0440","description":"STATION LQD O2 SYS PURCH;RESRVOR HUMIDFR NEBULZR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STD WHLCHAIR; FIX FULL-LEN ARMS DTACHBL FOOTRSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1130","description":"STD WHLCHAIR; FIX FULL-LEN ARMS DTACHBL FOOTRSTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENT COATED/COVERED WITH DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1874","description":"STENT COATED/COVERED WITH DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENT COATED/COVERED WITHOUT DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1875","description":"STENT COATED/COVERED WITHOUT DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENT NON-COATED/NON-COVERED W/DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1876","description":"STENT NON-COATED/NON-COVERED W/DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENT NON-COATED/NON-COVR WITHOUT DELIV SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1877","description":"STENT NON-COATED/NON-COVR WITHOUT DELIV SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENT NON-COR TEMPORARY WITHOUT DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2617","description":"STENT NON-COR TEMPORARY WITHOUT DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENT NON-CORONARY TEMPORARY W/DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C2625","description":"STENT NON-CORONARY TEMPORARY W/DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STENT NONCORONARY TEMPORARY WITH DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1091","description":"STENT NONCORONARY TEMPORARY WITH DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOSCOPIC X-RAY GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77421","description":"STEREOSCOPIC X-RAY GUIDANCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERILE DILUTANT FOR EPOPROSTENOL 50 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0155","description":"STERILE DILUTANT FOR EPOPROSTENOL 50 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STIM INTRAUTERINE INSEMINATION CASE RATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4035","description":"STIM INTRAUTERINE INSEMINATION CASE RATE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STORAGE OF PREVIOUSLY FROZEN EMBRYOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S4027","description":"STORAGE OF PREVIOUSLY FROZEN EMBRYOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STORAGE PER YEAR EMBRYO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89342","description":"STORAGE PER YEAR EMBRYO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STORAGE PER YEAR OOCYTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89346","description":"STORAGE PER YEAR OOCYTE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STORAGE PER YEAR SPERM/SEMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89343","description":"STORAGE PER YEAR SPERM/SEMEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STORAGE PER YR REPRDTVE TISS TSTICULAR/OVARIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89344","description":"STORAGE PER YR REPRDTVE TISS TSTICULAR/OVARIAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING OF LOW BACK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29220","description":"STRAPPING OF LOW BACK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRESS MGMT CLASSES NON-PHYSICIAN PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9454","description":"STRESS MGMT CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRESS TTE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93551","description":"STRESS TTE COMPLETE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRIP RETINAL MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67038","description":"STRIP RETINAL MEMBRANE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STROKE FOLLOWING ISOLATED CABG SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8573","description":"STROKE FOLLOWING ISOLATED CABG SURGERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC BX ASPIRAT EXC LESION SPINAL CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63615","description":"STRTCTC BX ASPIRAT EXC LESION SPINAL CORD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC LOCLZJ GID BREAST BX NEEDLE PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77031","description":"STRTCTC LOCLZJ GID BREAST BX NEEDLE PLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STUDY SENSOR ANEURYSM SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0154T","description":"STUDY SENSOR ANEURYSM SAC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTAN INJECTION INTERFERON BETA-1A, 11 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q3026","description":"SUBCUTAN INJECTION INTERFERON BETA-1A, 11 MCG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBRETINAL NJX RX AGT W/VTRC  and  1 Plus  RETINOTOMIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0810T","description":"SUBRETINAL NJX RX AGT W/VTRC  and  1 Plus  RETINOTOMIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSQT PS CCM 1ST 60 MIN SUBSQT MO BEH HC MGR AC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0503","description":"SUBSQT PS CCM 1ST 60 MIN SUBSQT MO BEH HC MGR AC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY HEAD  AND  NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15876","description":"SUCTION ASSISTED LIPECTOMY HEAD  AND  NECK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15879","description":"SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15877","description":"SUCTION ASSISTED LIPECTOMY TRUNK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15878","description":"SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION PUMP HOME MODEL ELEC USE EXT URINE MS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1006","description":"SUCTION PUMP HOME MODEL ELEC USE EXT URINE MS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION PUMP HOME MODEL PORTABLE FOR USE WOUNDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0743","description":"SUCTION PUMP HOME MODEL PORTABLE FOR USE WOUNDS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUI RSK NOT ASSESS INIT RSN NOT GV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8933","description":"SUI RSK NOT ASSESS INIT RSN NOT GV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUICIDE RISK ASSESSED INITIAL EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8932","description":"SUICIDE RISK ASSESSED INITIAL EVAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUNGLASSES FRAMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0518","description":"SUNGLASSES FRAMES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUP OF INJ CONTRST MAT-ECHO P/STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9700","description":"SUP OF INJ CONTRST MAT-ECHO P/STUDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99377","description":"SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION HOSPICE PATIENT/MONTH 30 MINUTES OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99378","description":"SUPERVISION HOSPICE PATIENT/MONTH 30 MINUTES OR GT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION INTERFACILITY TRANSPORT ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99486","description":"SUPERVISION INTERFACILITY TRANSPORT ADDL 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION INTERFACILITY TRANSPORT INIT 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99485","description":"SUPERVISION INTERFACILITY TRANSPORT INIT 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99379","description":"SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99380","description":"SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN OR GT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION PT HOME HEALTH AGENCY MONTH 30 MIN OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99375","description":"SUPERVISION PT HOME HEALTH AGENCY MONTH 30 MIN OR GT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES  and  ACC EXTERNAL UL TREMOR STIM PN  WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1019","description":"SUPPLIES  and  ACC EXTERNAL UL TREMOR STIM PN  WRIST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES  and  ACCESSORIES LOW FREQ US DIA TX DVC PM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1036","description":"SUPPLIES  and  ACCESSORIES LOW FREQ US DIA TX DVC PM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES and MATERIALS ABOVE/BEYOND PROV BY PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99070","description":"SUPPLIES and MATERIALS ABOVE/BEYOND PROV BY PHYS/QHP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLY ALLOW FOR TX CGM1 MO SPL  Equal to  1 U OF SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0553","description":"SUPPLY ALLOW FOR TX CGM1 MO SPL  Equal to  1 U OF SERVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPORTED EMPLOYMENT PER 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2023","description":"SUPPORTED EMPLOYMENT PER 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPORTED EMPLOYMENT PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2024","description":"SUPPORTED EMPLOYMENT PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPORTED HOUSING PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0043","description":"SUPPORTED HOUSING PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPORTED HOUSING PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0044","description":"SUPPORTED HOUSING PER MONTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPORTS BROKERAGE SELF-DIRECTED WAIVER; 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2041","description":"SUPPORTS BROKERAGE SELF-DIRECTED WAIVER; 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPRACHOROIDAL PHARMACOLOGIC AGENT DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0186T","description":"SUPRACHOROIDAL PHARMACOLOGIC AGENT DELIVERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99374","description":"SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURFACE ELECTROMYOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3900","description":"SURFACE ELECTROMYOGRAPHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURFACTOR OR NUDYN PER 0.5 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4233","description":"SURFACTOR OR NUDYN PER 0.5 CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG EXP OF RS W/O APICOECTOMY/REPR RR - ANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3501","description":"SURG EXP OF RS W/O APICOECTOMY/REPR RR - ANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG EXP RS NO APICOECT/REPR RT RESORPTN - MOLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3503","description":"SURG EXP RS NO APICOECT/REPR RT RESORPTN - MOLAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG EXP RS W/O APICOECTOMY/REPR OF RR - PM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3502","description":"SURG EXP RS W/O APICOECTOMY/REPR OF RR - PM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG PATH PROS NB ANY METH  OVER 60 SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0419","description":"SURG PATH PROS NB ANY METH  OVER 60 SPEC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG PATH PROS NB ANY METH 21-40 SP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0417","description":"SURG PATH PROS NB ANY METH 21-40 SP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG PATH PROS NB ANY METH 41-60 SP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0418","description":"SURG PATH PROS NB ANY METH 41-60 SP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG PROC NOT W/IN 30 DAY FLW CAT SURG MAJ COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8628","description":"SURG PROC NOT W/IN 30 DAY FLW CAT SURG MAJ COMP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG PROC W/IN 30 DA FLW CATARACT SURG MAJ COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8627","description":"SURG PROC W/IN 30 DA FLW CATARACT SURG MAJ COMP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG TECHNIQUES REQUIRING USE ROBOTIC SURG SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2900","description":"SURG TECHNIQUES REQUIRING USE ROBOTIC SURG SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL BOOT EACH CHILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3209","description":"SURGICAL BOOT EACH CHILD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL BOOT EACH INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3208","description":"SURGICAL BOOT EACH INFANT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL BOOT EACH JUNIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3211","description":"SURGICAL BOOT EACH JUNIOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL BOOT/SHOE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3260","description":"SURGICAL BOOT/SHOE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL COLONOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45355","description":"SURGICAL COLONOSCOPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL MASK PER 20","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4928","description":"SURGICAL MASK PER 20","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL OPENING ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43350","description":"SURGICAL OPENING ESOPHAGUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 REMOVAL OF IMPLANT BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6100","description":"SURGICAL REMOVAL OF IMPLANT BODY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL REPAIR OF ROOT RESORPTION - ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3471","description":"SURGICAL REPAIR OF ROOT RESORPTION - ANTERIOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL REPAIR OF ROOT RESORPTION - MOLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3473","description":"SURGICAL REPAIR OF ROOT RESORPTION - MOLAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL REPAIR OF ROOT RESORPTION - PREMOLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3472","description":"SURGICAL REPAIR OF ROOT RESORPTION - PREMOLAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 SPLINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5988","description":"SURGICAL SPLINT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STENT FOR SOFT TISSUE HEALING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5982","description":"SURGICAL STENT FOR SOFT TISSUE HEALING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING ABOVE KNEE LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4490","description":"SURGICAL STOCKING ABOVE KNEE LENGTH EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING BELOW KNEE LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4500","description":"SURGICAL STOCKING BELOW KNEE LENGTH EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING FULL-LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4510","description":"SURGICAL STOCKING FULL-LENGTH EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL STOCKING THIGH LENGTH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4495","description":"SURGICAL STOCKING THIGH LENGTH EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL TISSUE LOCALIZATION AND EXCISION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1819","description":"SURGICAL TISSUE LOCALIZATION AND EXCISION DEVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL TRAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4550","description":"SURGICAL TRAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGIGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4183","description":"SURGIGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT FT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4268","description":"SURGRAFT FT PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4209","description":"SURGRAFT PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT TL PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4263","description":"SURGRAFT TL PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGRAFT XT PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4269","description":"SURGRAFT XT PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURV COLO-PH CLNC PLYPS CC/OTH MAL NEO R RSJ  and  A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9936","description":"SURV COLO-PH CLNC PLYPS CC/OTH MAL NEO R RSJ  and  A","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SVC PRV EMER BASIS IN OFFICE DISRUPTING SVCS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99058","description":"SVC PRV EMER BASIS IN OFFICE DISRUPTING SVCS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SVC PRV EMER OUT OFFICE DISRUPTS OFFICE SVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99060","description":"SVC PRV EMER OUT OFFICE DISRUPTS OFFICE SVC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99051","description":"SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SVC TYPICAL PRV OFFICE PRV OUT OFFICE REQUEST PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99056","description":"SVC TYPICAL PRV OFFICE PRV OUT OFFICE REQUEST PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SWALLOW SCORE AT DISCH NOT HIGHER, REAS NOT SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8625","description":"SWALLOW SCORE AT DISCH NOT HIGHER, REAS NOT SPEC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SWALLOWING FCN LIMITATION D C STS D C TX END REP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8998","description":"SWALLOWING FCN LIMITATION D C STS D C TX END REP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SWALLOWING SCORE AT DISCHARGE HIGHER THAN ADMIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8624","description":"SWALLOWING SCORE AT DISCHARGE HIGHER THAN ADMIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SWIVEL ADAPTOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8186","description":"SWIVEL ADAPTOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SWLLOW FCN LIM CUR STS TX AND EPIS OUTSET REP INTRVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8996","description":"SWLLOW FCN LIM CUR STS TX AND EPIS OUTSET REP INTRVL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SWLLOW FCN LIM PROJ GOAL TX EPIS AND OUTSET AND D C TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8997","description":"SWLLOW FCN LIM PROJ GOAL TX EPIS AND OUTSET AND D C TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPTOMATIC AAAS THAT RQR URGENT/EMERGENT REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9600","description":"SYMPTOMATIC AAAS THAT RQR URGENT/EMERGENT REPAIR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYN RSRB STR PAD SZ  GT 16 SI BUT LT or equal to  48 SI NO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6461","description":"SYN RSRB STR PAD SZ  GT 16 SI BUT LT or equal to  48 SI NO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYN RSRB WND DRSG STER PAD 16 SI OR LT  NO ADH BO EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6460","description":"SYN RSRB WND DRSG STER PAD 16 SI OR LT  NO ADH BO EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98014","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98012","description":"SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98009","description":"SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98005","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT EST MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98006","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT EST SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98004","description":"SYNCHRONOUS AUDIO-VIDEO VISIT EST SF MDM 10 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98002","description":"SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNCHRONOUS AUDIO-VIDEO VST EST HIGH MDM 40 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98007","description":"SYNCHRONOUS AUDIO-VIDEO VST EST HIGH MDM 40 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4232","description":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TABLO HEMODIALYSIS SYS FOR BILLABLE DIALYSIS SVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1629","description":"TABLO HEMODIALYSIS SYS FOR BILLABLE DIALYSIS SVC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACRINE HYDROCHLORIDE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0014","description":"TACRINE HYDROCHLORIDE 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TACTILE BREAST IMG COMPUTER-AIDED SENSORS UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0422T","description":"TACTILE BREAST IMG COMPUTER-AIDED SENSORS UNI/BI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAKE HOME SPLY INJ NLXLIST SEP ADD CD PRIM PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2216","description":"TAKE HOME SPLY INJ NLXLIST SEP ADD CD PRIM PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TAMOXIFEN CITRATE ORAL 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0187","description":"TAMOXIFEN CITRATE ORAL 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TARGETED CASE MANAGEMENT EACH 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1017","description":"TARGETED CASE MANAGEMENT EACH 15 MINS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TARGETED CASE MANAGEMENT; PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2023","description":"TARGETED CASE MANAGEMENT; PER MONTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TARGETED GENOMIC SEQUENCE ALYS PNL DNA 23 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0171U","description":"TARGETED GENOMIC SEQUENCE ALYS PNL DNA 23 GENES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TC 99M TILMANOCEPT DIGN TO 0.5 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1204","description":"TC 99M TILMANOCEPT DIGN TO 0.5 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TC AURICULAR NSTIMJ SETUP CALIBRATION  and PT EDUCAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0783T","description":"TC AURICULAR NSTIMJ SETUP CALIBRATION  and PT EDUCAJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TC MAG STIM FCSD LW FRQ EMGNT PLS PN SBSQTX 1NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0768T","description":"TC MAG STIM FCSD LW FRQ EMGNT PLS PN SBSQTX 1NRV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TC MAG STIM FCSD LW FRQ EMGNT PLS PN SBSQTX EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0769T","description":"TC MAG STIM FCSD LW FRQ EMGNT PLS PN SBSQTX EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TC MAG STIMJ FCSD LW FRQ EMGNT PLS PN 1ST NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0766T","description":"TC MAG STIMJ FCSD LW FRQ EMGNT PLS PN 1ST NERVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TC MAG STIMJ FCSD LW FRQ EMGNT PLS PN EA ADD NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0767T","description":"TC MAG STIMJ FCSD LW FRQ EMGNT PLS PN EA ADD NRV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IMPLANTATION CORONARY SINUS REDUCTION DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0645T","description":"TCAT IMPLANTATION CORONARY SINUS REDUCTION DEV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0823T","description":"TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT INSJ PERM 2CHMBR LDLS PM R ATR PM COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0796T","description":"TCAT INSJ PERM 2CHMBR LDLS PM R ATR PM COMPNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT INSJ PERM 2CHMBR LDLS PM R VENTR PM COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0797T","description":"TCAT INSJ PERM 2CHMBR LDLS PM R VENTR PM COMPNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT INSJ PERM DUAL CHAMBER LDLS PM COMPL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0795T","description":"TCAT INSJ PERM DUAL CHAMBER LDLS PM COMPL SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT INTRA-C NFS SUPERSAT O2 W/PERQ C REVSC AMI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0659T","description":"TCAT INTRA-C NFS SUPERSAT O2 W/PERQ C REVSC AMI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT MV ANN RCNSTJ W/IMPL ADJST ANN RCNSTJ DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0544T","description":"TCAT MV ANN RCNSTJ W/IMPL ADJST ANN RCNSTJ DEV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT OCCLS EMBOLJ PRQ NON-CNS NON-HEAD NCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37204","description":"TCAT OCCLS EMBOLJ PRQ NON-CNS NON-HEAD NCK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLACEMENT PHYSIOLOGIC SENSOR ANEURYSMAL SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34806","description":"TCAT PLACEMENT PHYSIOLOGIC SENSOR ANEURYSMAL SAC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLMT INTRACORONARY STENT PRQ 1 VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92980","description":"TCAT PLMT INTRACORONARY STENT PRQ 1 VESSEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLMT INTRACORONARY STENT PRQ EA VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92981","description":"TCAT PLMT INTRACORONARY STENT PRQ EA VESSEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLMT IV STENT OPEN 1ST VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37207","description":"TCAT PLMT IV STENT OPEN 1ST VESSEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLMT IV STENT OPEN EACH ADDL VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37208","description":"TCAT PLMT IV STENT OPEN EACH ADDL VESSEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLMT IV STENT PERCUTANEOUS 1ST VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37205","description":"TCAT PLMT IV STENT PERCUTANEOUS 1ST VESSEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLMT IV STENT PERCUTANEOUS EACH ADDL VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37206","description":"TCAT PLMT IV STENT PERCUTANEOUS EACH ADDL VESSEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLMT XTRC VRT CRTD STENT RS AND IPRQ EA VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0076T","description":"TCAT PLMT XTRC VRT CRTD STENT RS AND IPRQ EA VSL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RETRIEVAL PRQ INTRAVASCULAR FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37203","description":"TCAT RETRIEVAL PRQ INTRAVASCULAR FOREIGN BODY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RETRIEVAL PRQ IV FOREIGN BODY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75961","description":"TCAT RETRIEVAL PRQ IV FOREIGN BODY RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL PERM 1CHMBR LDLS PACEMAKER R ATRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0824T","description":"TCAT RMVL PERM 1CHMBR LDLS PACEMAKER R ATRIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL PERM 2CHMBR LDLS PM R ATR PM COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0799T","description":"TCAT RMVL PERM 2CHMBR LDLS PM R ATR PM COMPNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL PERM 2CHMBR LDLS PM R VENTR PM COMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0800T","description":"TCAT RMVL PERM 2CHMBR LDLS PM R VENTR PM COMPNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL PERM DUAL CHAMBER LDLS PM COMPL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0798T","description":"TCAT RMVL PERM DUAL CHAMBER LDLS PM COMPL SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL and RPLCMT PERM 1CHMBR LDLS PM R ATRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0825T","description":"TCAT RMVL and RPLCMT PERM 1CHMBR LDLS PM R ATRIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL and RPLCMT PERM 2CHMBR LDLS PM 2CHMBR SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0801T","description":"TCAT RMVL and RPLCMT PERM 2CHMBR LDLS PM 2CHMBR SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL and RPLCMT PERM 2CHMBR LDLS PM R ATR CMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0802T","description":"TCAT RMVL and RPLCMT PERM 2CHMBR LDLS PM R ATR CMPNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL and RPLCMT PRM 2CHMBR LDLS PM R VNTR CMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0803T","description":"TCAT RMVL and RPLCMT PRM 2CHMBR LDLS PM R VNTR CMPNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT RMVL/DEBULK ICAR MASS SUCTION DEVICE PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0644T","description":"TCAT RMVL/DEBULK ICAR MASS SUCTION DEVICE PERQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT STENT ILIAC LOW EXT ART PRQ OPN RSI EA VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75960","description":"TCAT STENT ILIAC LOW EXT ART PRQ OPN RSI EA VSL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT SUPR and /IVC PROSTC VLV IMPLT OPEN FEM VN APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0806T","description":"TCAT SUPR and /IVC PROSTC VLV IMPLT OPEN FEM VN APPR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT SUPR and /IVC PROSTC VLV IMPLT PERQ FEM VN APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0805T","description":"TCAT SUPR and /IVC PROSTC VLV IMPLT PERQ FEM VN APPR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT THER INFUSION THROMBOLYS OTHR THN CORONARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37201","description":"TCAT THER INFUSION THROMBOLYS OTHR THN CORONARY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT TV ANN RCNSTJ W/IMPL ADJST ANN RCNSTJ DEV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0545T","description":"TCAT TV ANN RCNSTJ W/IMPL ADJST ANN RCNSTJ DEV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCATH SENSOR ANEURYSM SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0153T","description":"TCATH SENSOR ANEURYSM SAC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCRANIAL MAGN STIM TX DELIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0161T","description":"TCRANIAL MAGN STIM TX DELIV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCRANIAL MAGN STIM TX PLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0160T","description":"TCRANIAL MAGN STIM TX PLAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99366","description":"TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99368","description":"TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99367","description":"TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAR FILM IMAGING UNILATERAL OR BILATERAL W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0330T","description":"TEAR FILM IMAGING UNILATERAL OR BILATERAL W/I and R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9504","description":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9557","description":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9536","description":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9566","description":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9562","description":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9561","description":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9567","description":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9550","description":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9501","description":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9520","description":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEE ASSESS CARD PUMP FUNCT AND TX MSR IMMED TM BASIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8927","description":"TEE ASSESS CARD PUMP FUNCT AND TX MSR IMMED TM BASIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEE W OR W/O FLW W/CNTRST REAL TIME 2D; ACQ I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8925","description":"TEE W OR W/O FLW W/CNTRST REAL TIME 2D; ACQ I and R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEE W OR W/O FLW W/CNTRST; PROBE PLCMT ACQ I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8926","description":"TEE W OR W/O FLW W/CNTRST; PROBE PLCMT ACQ I and R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEDENTISTRY - SYNCHRONOUS; REAL-TIME ENCOUNTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9995","description":"TELEDENTISTRY - SYNCHRONOUS; REAL-TIME ENCOUNTER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEDENTISTRY-ASYNC; INFO STD AND FWD DENT SUBSQ REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9996","description":"TELEDENTISTRY-ASYNC; INFO STD AND FWD DENT SUBSQ REV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHLTH TRNSMS-MIN PROFESSIONAL SRVC BILL SEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T1014","description":"TELEHLTH TRNSMS-MIN PROFESSIONAL SRVC BILL SEP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEMONITORING PT HOME ALL NEC EQUIP; PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9110","description":"TELEMONITORING PT HOME ALL NEC EQUIP; PER MONTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEPHONE ANALY, PACEMAKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93733","description":"TELEPHONE ANALY, PACEMAKER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 11-20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98967","description":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 11-20 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.65,"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":17.65,"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":21.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 21-30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98968","description":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 21-30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.52,"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":26.52,"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":27.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98966","description":"TELEPHONE ASSMT and MGMT SVC NQHP EST PT 5-10 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.87,"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":8.87,"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":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEPHONIC ANALY, PACEMAKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93736","description":"TELEPHONIC ANALY, PACEMAKER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELESCOPIC  AND  OTH COMPOUND LENS SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2615","description":"TELESCOPIC  AND  OTH COMPOUND LENS SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELETX ISODOSE PLAN COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77315","description":"TELETX ISODOSE PLAN COMPLEX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELETX ISODOSE PLAN INTERMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77310","description":"TELETX ISODOSE PLAN INTERMED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELETX ISODOSE PLAN SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77305","description":"TELETX ISODOSE PLAN SIMPLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMP PROSTATE URETHRAL STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0084T","description":"TEMP PROSTATE URETHRAL STENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMP REPL PT OWNED EQUIP BEING REPR ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0462","description":"TEMP REPL PT OWNED EQUIP BEING REPR ANY TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPORARY ABSORBABLE LACRIMAL DUCT IMPLANT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4262","description":"TEMPORARY ABSORBABLE LACRIMAL DUCT IMPLANT EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPORARY CROWN FRACTURED TOOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2970","description":"TEMPORARY CROWN FRACTURED TOOTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPOROMANDIBULAR JOINT ARTHROGRAM INCL INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0320","description":"TEMPOROMANDIBULAR JOINT ARTHROGRAM INCL INJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPRATURE GRADIENT STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93740","description":"TEMPRATURE GRADIENT STUDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENDON POROUS MATRIX COLLAGEN  AND  GAG PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9356","description":"TENDON POROUS MATRIX COLLAGEN  AND  GAG PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENSION RING VAC ERECTION DEVC REPLACE ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7902","description":"TENSION RING VAC ERECTION DEVC REPLACE ONLY EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7680","description":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7681","description":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HAND MECH VOL CLOSING PEDIATRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7614","description":"TERM DEVC HAND MECH VOL CLOSING PEDIATRIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HAND MECH VOL OPENING PEDIATRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7613","description":"TERM DEVC HAND MECH VOL OPENING PEDIATRIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HOOK HAND HEAVY DUTY MECH VOL CLOSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7622","description":"TERM DEVC HOOK HAND HEAVY DUTY MECH VOL CLOSING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HOOK HAND HEAVY DUTY MECH VOL OPENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7621","description":"TERM DEVC HOOK HAND HEAVY DUTY MECH VOL OPENING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVICE HOOK MECH VOL CLOSING PEDIATRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7612","description":"TERM DEVICE HOOK MECH VOL CLOSING PEDIATRIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVICE HOOK MECH VOL OPENING PEDIATRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7611","description":"TERM DEVICE HOOK MECH VOL OPENING PEDIATRIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEST SELECT  and  ADMN FUNCTL BRAIN MAP PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96020","description":"TEST SELECT  and  ADMN FUNCTL BRAIN MAP PHYS/QHP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TETANUS  AND  DIPHTHERIA TOXOIDS ADSORBED 7 OR GRT YR IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90718","description":"TETANUS  AND  DIPHTHERIA TOXOIDS ADSORBED 7 OR GRT YR IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TETANUS IMMUNE GLOBULIN TIG HUMAN IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90389","description":"TETANUS IMMUNE GLOBULIN TIG HUMAN IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TETANUS VACCINE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90703","description":"TETANUS VACCINE IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TGSAP SLD ORG NEO DNA 523 and RNA 55 NEXT GNRJ SEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0379U","description":"TGSAP SLD ORG NEO DNA 523 and RNA 55 NEXT GNRJ SEQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THAWING AND EXPAN FRZN CELLS TX USE EA ALIQUOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0266","description":"THAWING AND EXPAN FRZN CELLS TX USE EA ALIQUOT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THAWING CRYOPRESERVED EMBRYO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89352","description":"THAWING CRYOPRESERVED EMBRYO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THAWING CRYOPRESERVED SPERM/SEMEN EACH ALIQUOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89353","description":"THAWING CRYOPRESERVED SPERM/SEMEN EACH ALIQUOT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THAWING CRYOPRESERVED TESTICULAR/OVARIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89354","description":"THAWING CRYOPRESERVED TESTICULAR/OVARIAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":"M1106","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":"M1136","description":"THE START OF AN EPISODE OF CARE DOC MED RECORD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER APHERESIS W XTRCORP IMMUNODSPTJ AND  PLSM RENFJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36515","description":"THER APHERESIS W XTRCORP IMMUNODSPTJ AND  PLSM RENFJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER DIAG CONCURRENT INF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90768","description":"THER DIAG CONCURRENT INF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97129","description":"THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97130","description":"THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PROP DIAG INJ INF PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90779","description":"THER PROP DIAG INJ INF PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH DG IV INF, ADD-ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90766","description":"THER PROPH DG IV INF, ADD-ON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH DIAG INJ, IA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90773","description":"THER PROPH DIAG INJ, IA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH DIAG INJ, IV PUSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90774","description":"THER PROPH DIAG INJ, IV PUSH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH DIAG INJ, SC IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90772","description":"THER PROPH DIAG INJ, SC IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH DIAG IV INF, INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90765","description":"THER PROPH DIAG IV INF, INIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER SVC N-SP-GENRATJ DEV PRGRMG AND MODIFICAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92606","description":"THER SVC N-SP-GENRATJ DEV PRGRMG AND MODIFICAJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 AGENT URINARY CATHETER IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4321","description":"THERAPEUTIC AGENT URINARY CATHETER IRRIGATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS W/SELECTIVE HDL DELIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0342T","description":"THERAPEUTIC APHERESIS W/SELECTIVE HDL DELIP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC BEHAVIORAL SERVICES PER DIEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"H2020","description":"THERAPEUTIC BEHAVIORAL SERVICES PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC BEHAVIORAL SERVICES PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2020","description":"THERAPEUTIC BEHAVIORAL SERVICES PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC CAMPING DAY WAIVER; EACH SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2037","description":"THERAPEUTIC CAMPING DAY WAIVER; EACH SESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC CAMPING OVERNIGHT WAIVER; EA SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2036","description":"THERAPEUTIC CAMPING OVERNIGHT WAIVER; EA SESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INDUCTION OF INTRA-BRAIN HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0776T","description":"THERAPEUTIC INDUCTION OF INTRA-BRAIN HYPOTHERMIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC IVNTJ W FOCUS ON COGNITIVE FUNCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97127","description":"THERAPEUTIC IVNTJ W FOCUS ON COGNITIVE FUNCTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC LGHTBOX MINI 10000 LUX TABL TOP MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0203","description":"THERAPEUTIC LGHTBOX MINI 10000 LUX TABL TOP MDL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PARENTERAL DRUG SINGL ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9610","description":"THERAPEUTIC PARENTERAL DRUG SINGL ADMINISTRATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96372","description":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC ULTRAFILTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0692T","description":"THERAPEUTIC ULTRAFILTRATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERMOTX CHOROID VASC LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0016T","description":"THERMOTX CHOROID VASC LESION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THIN LAYER CHROMATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82489","description":"THIN LAYER CHROMATOGRAPHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THKAO MOBILITY FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1500","description":"THKAO MOBILITY FRAME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THKAO STANDING FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1510","description":"THKAO STANDING FRAME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THKAO SWIVEL WALKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1520","description":"THKAO SWIVEL WALKER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACENTESIS PUNCTURE PLEURAL CAVITY ASPIRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32421","description":"THORACENTESIS PUNCTURE PLEURAL CAVITY ASPIRATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACENTESIS WITH INSERTION TUBE WATER SEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32422","description":"THORACENTESIS WITH INSERTION TUBE WATER SEAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACIC RIB BELT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0210","description":"THORACIC RIB BELT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY DX LUNGS AND PLEURAL SPACE W BX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32602","description":"THORACOSCOPY DX LUNGS AND PLEURAL SPACE W BX SPX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY DX MEDIASTINAL SPACE W O BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32605","description":"THORACOSCOPY DX MEDIASTINAL SPACE W O BIOPSY SPX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY DX PERICARDIAL SAC W O BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32603","description":"THORACOSCOPY DX PERICARDIAL SAC W O BIOPSY SPX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W TOTAL PERICARDIECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32660","description":"THORACOSCOPY W TOTAL PERICARDIECTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY LIMITED BIOPSY LUNG PLEURA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32095","description":"THORACOTOMY LIMITED BIOPSY LUNG PLEURA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRC GAS VOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94260","description":"THRC GAS VOL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THREE MUTATION BRCA1  AND  BRCA2, BREAST OVAR CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S3823","description":"THREE MUTATION BRCA1  AND  BRCA2, BREAST OVAR CA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRSC W WEDGE RESCJ LNG 1 MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32657","description":"THRSC W WEDGE RESCJ LNG 1 MLT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID IMAGING ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78010","description":"THYROID IMAGING ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID IMAGING W UPTAKE MULT DETERMINATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78007","description":"THYROID IMAGING W UPTAKE MULT DETERMINATIONS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID IMAGING W UPTAKE SINGLE DETERMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78006","description":"THYROID IMAGING W UPTAKE SINGLE DETERMINATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID IMAGING W VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78011","description":"THYROID IMAGING W VASCULAR FLOW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID UPTAKE MULTIPLE DETERMINATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78001","description":"THYROID UPTAKE MULTIPLE DETERMINATIONS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID UPTAKE SINGLE DETERMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78000","description":"THYROID UPTAKE SINGLE DETERMINATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/COMPLETE PARATHYROID AT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7555","description":"THYROIDECTOMY TOTAL/COMPLETE PARATHYROID AT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISAGENLECLEUCEL TO 250 M CAR-POS VI T CELLS-INF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q2040","description":"TISAGENLECLEUCEL TO 250 M CAR-POS VI T CELLS-INF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR ALGC DRM F S N H F G M D 1ST 100 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15365","description":"TISS CLTR ALGC DRM F S N H F G M D 1ST 100 CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR ALGC DRM F S N H F G M D EA 100 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15366","description":"TISS CLTR ALGC DRM F S N H F G M D EA 100 CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR ALGC SKN EA 25 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15341","description":"TISS CLTR ALGC SKN EA 25 CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE CLTR ALGC DERMAL T A L EA 100CM EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15361","description":"TISSUE CLTR ALGC DERMAL T A L EA 100CM EA 1 PCT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE CLTR ALGC DRM TRUNK ARM LEG 1ST 100 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15360","description":"TISSUE CLTR ALGC DRM TRUNK ARM LEG 1ST 100 CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE CONDITIONING MANDIBULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5851","description":"TISSUE CONDITIONING MANDIBULAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE CONDITIONING MAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5850","description":"TISSUE CONDITIONING MAXILLARY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE CULTURED ALLOGENEIC SKIN 1ST 25CM OR LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15340","description":"TISSUE CULTURED ALLOGENEIC SKIN 1ST 25CM OR LESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE GRAFTS OTHER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20926","description":"TISSUE GRAFTS OTHER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE INSITU HYBRIDIZATION INCL INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0479","description":"TISSUE INSITU HYBRIDIZATION INCL INTERPRETATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE MARKER, IMPLANTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1879","description":"TISSUE MARKER, IMPLANTABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TK HM NASAL NALOXONE 2PK 8MG/0.1 ML NASL SP PRIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G1028","description":"TK HM NASAL NALOXONE 2PK 8MG/0.1 ML NASL SP PRIM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO A-P-L W INTERFACE MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0430","description":"TLSO A-P-L W INTERFACE MATERIAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0452","description":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION CUSTOM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMJ DYSFUNCTION - NON-INVASIVE PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9130","description":"TMJ DYSFUNCTION - NON-INVASIVE PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0483T","description":"TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMVI W/PROSTHETIC VALVE TRANSTHORACIC EXPOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0484T","description":"TMVI W/PROSTHETIC VALVE TRANSTHORACIC EXPOSURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNGRPHY I AND R REC INDENTAJ TNMTR SUCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92120","description":"TNGRPHY I AND R REC INDENTAJ TNMTR SUCJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNGRPHY WATER PROVOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92130","description":"TNGRPHY WATER PROVOCATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO CESSATION INTERVEN NOT CNSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8454","description":"TOBACCO CESSATION INTERVEN NOT CNSL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO CESSATION INTERVENTION CNSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8453","description":"TOBACCO CESSATION INTERVENTION CNSL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO CESSATION INTERVNTN COUNSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8402","description":"TOBACCO CESSATION INTERVNTN COUNSEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO CESSATION INTRVNTN NOT CNSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8403","description":"TOBACCO CESSATION INTRVNTN NOT CNSL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO CNSL CONTROL AND PREVENTION ORAL DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1320","description":"TOBACCO CNSL CONTROL AND PREVENTION ORAL DISEASE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO SMOKER CURRENT OR 2ND HAND EXPOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8686","description":"TOBACCO SMOKER CURRENT OR 2ND HAND EXPOSURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99406","description":"TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE NOT ASSESSED, REASON NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8689","description":"TOBACCO USE NOT ASSESSED, REASON NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE NOT ASSESSED, REASON NOT SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8693","description":"TOBACCO USE NOT ASSESSED, REASON NOT SPECIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7685","description":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOILET RAIL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0243","description":"TOILET RAIL EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOMOGRAPHIC SURVEY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0322","description":"TOMOGRAPHIC SURVEY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPICAL ADMIN PRADEMAGENE ZAMIKERACEL PER TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3389","description":"TOPICAL ADMIN PRADEMAGENE ZAMIKERACEL PER TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPICAL ANESTHETIC FOR DIALYSIS PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4736","description":"TOPICAL ANESTHETIC FOR DIALYSIS PER G","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPICAL APPLICATION FLUORIDE ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1204","description":"TOPICAL APPLICATION FLUORIDE ADULT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPICAL APPLICATION FLUORIDE CHILD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1203","description":"TOPICAL APPLICATION FLUORIDE CHILD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPICAL APPLICATION OF FLUORIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1208","description":"TOPICAL APPLICATION OF FLUORIDE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPICAL HYPERBARIC OXYGEN CHAMBER DISPOSABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4575","description":"TOPICAL HYPERBARIC OXYGEN CHAMBER DISPOSABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPICAL OXYGEN DELIVERY SYSTEM NOS INCL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0446","description":"TOPICAL OXYGEN DELIVERY SYSTEM NOS INCL SUPPLIES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOPOGRAPHIC BRAIN MAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8040","description":"TOPOGRAPHIC BRAIN MAPPING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TORSO SUPP POSTSURG SUPP PADS POSTSURG SUPP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0960","description":"TORSO SUPP POSTSURG SUPP PADS POSTSURG SUPP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 BODY SYST HYPOTHER NEONATE AGE 28 DAYS OR LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0260T","description":"TOT BODY SYST HYPOTHER NEONATE AGE 28 DAYS OR LESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT BODY SYST HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99481","description":"TOT BODY SYST HYPOTHERMIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT DISC ARTHRP ANT APPR EA ADDL NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0163T","description":"TOT DISC ARTHRP ANT APPR EA ADDL NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL BODY HYPOTHERMIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99186","description":"TOTAL BODY HYPOTHERMIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT APPR W DISCECTOMY CRV 3 PLUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0375T","description":"TOTAL DISC ARTHRP ANT APPR W DISCECTOMY CRV 3 PLUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL KT V GRT THN EQ TO 1.7 PER WEEK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8718","description":"TOTAL KT V GRT THN EQ TO 1.7 PER WEEK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL KT V LESS THAN 1.7 PER WEEK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8720","description":"TOTAL KT V LESS THAN 1.7 PER WEEK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL NUMBER ED VISITS  and  IP HOSP  LT  2 PAST 12 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9521","description":"TOTAL NUMBER ED VISITS  and  IP HOSP  LT  2 PAST 12 M","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOURNIQUET FOR DIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4929","description":"TOURNIQUET FOR DIALYSIS EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TPLA B9 PROSTATIC HYPERPLASIA PRST8 VOL  LT 50 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0714T","description":"TPLA B9 PROSTATIC HYPERPLASIA PRST8 VOL  LT 50 ML","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TPRNL BALO CNTNC DEV ADJUSTMENT BALO FLU VOLUME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0551T","description":"TPRNL BALO CNTNC DEV ADJUSTMENT BALO FLU VOLUME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TPRNL BALO CNTNC DEV REMOVAL EACH BALLOON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0550T","description":"TPRNL BALO CNTNC DEV REMOVAL EACH BALLOON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TPRNL BALO CNTNC DEV UNI PLMT W/CSTSC  and  FLUOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0549T","description":"TPRNL BALO CNTNC DEV UNI PLMT W/CSTSC  and  FLUOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TPRNL PLMT BIODEGRADABLE MATRL PERIPROSTATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0438T","description":"TPRNL PLMT BIODEGRADABLE MATRL PERIPROSTATIC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOSTOMY AB INTERNO BY LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0621T","description":"TRABECULOSTOMY AB INTERNO BY LASER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOSTOMY AB INTERNO LASER W/OPH ENDOSCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0622T","description":"TRABECULOSTOMY AB INTERNO LASER W/OPH ENDOSCOPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRABECULOTOMY BY LASER INCLUDING OCT GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0730T","description":"TRABECULOTOMY BY LASER INCLUDING OCT GUIDANCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY SHOWER PROTECTOR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7523","description":"TRACHEOSTOMY SHOWER PROTECTOR EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY SUPPLY NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8189","description":"TRACHEOSTOMY SUPPLY NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSAPICAL MV RPR W/TTE PLMT ARTIF CHORDAE TEND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0543T","description":"TRANSAPICAL MV RPR W/TTE PLMT ARTIF CHORDAE TEND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATH DRUG-ELUTING STENTS, SINGLE VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0290","description":"TRANSCATH DRUG-ELUTING STENTS, SINGLE VESSEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATH DRUG-ELUTING STENTS,EACH ADD VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0291","description":"TRANSCATH DRUG-ELUTING STENTS,EACH ADD VESSEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATH INSERT OR REPLACE LEADLESS PM VENTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0387T","description":"TRANSCATH INSERT OR REPLACE LEADLESS PM VENTR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATH MITRAL VALVE REPAIR VIA CORONARY SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0345T","description":"TRANSCATH MITRAL VALVE REPAIR VIA CORONARY SINUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATH MTRAL VLVE REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0343T","description":"TRANSCATH MTRAL VLVE REPAIR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATH MTRAL VLVE REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0344T","description":"TRANSCATH MTRAL VLVE REPAIR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATH REMOVAL LEADLESS PM VENTRICULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0388T","description":"TRANSCATH REMOVAL LEADLESS PM VENTRICULAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER IO BLOOD VESSEL MICROINFUSION TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9759","description":"TRANSCATHETER IO BLOOD VESSEL MICROINFUSION TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER L VENTR RESTORATION DEVICE IMPLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0643T","description":"TRANSCATHETER L VENTR RESTORATION DEVICE IMPLTJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER RENAL SYMPATH DENERVATION BILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0339T","description":"TRANSCATHETER RENAL SYMPATH DENERVATION BILAT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER RENAL SYMPATH DENERVATION UNILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0338T","description":"TRANSCATHETER RENAL SYMPATH DENERVATION UNILAT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER THERAPY INFUSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37202","description":"TRANSCATHETER THERAPY INFUSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCERVICAL UTERINE FIBROID ABLTJ W/US GDN RF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0404T","description":"TRANSCERVICAL UTERINE FIBROID ABLTJ W/US GDN RF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCUT ELEC NERVE STIM FOR ELEC STIM TG NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1016","description":"TRANSCUT ELEC NERVE STIM FOR ELEC STIM TG NERVE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCYTE PER SQUARE CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4182","description":"TRANSCYTE PER SQUARE CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSDUCER PROTECTORS/FL BARRIERS HEMODIAL SZ-10","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1575","description":"TRANSDUCER PROTECTORS/FL BARRIERS HEMODIAL SZ-10","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECT ARTERY SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61609","description":"TRANSECT ARTERY SINUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER BENCH TUB/TOILET W/WO COMMODE OPENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0247","description":"TRANSFER BENCH TUB/TOILET W/WO COMMODE OPENING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 TUB RAIL ATTACHMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0246","description":"TRANSFER TUB RAIL ATTACHMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSLUMINAL BALLOON ANGIOPLASTY INITIAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C7532","description":"TRANSLUMINAL BALLOON ANGIOPLASTY INITIAL ARTERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMISSION OF ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93012","description":"TRANSMISSION OF ECG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMITTER; EXT USE W/ARTIF PANCREAS DEVC SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S1036","description":"TRANSMITTER; EXT USE W/ARTIF PANCREAS DEVC SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMYOCARDIAL CLOSURE V-SEPTL DFCT W BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0167T","description":"TRANSMYOCARDIAL CLOSURE V-SEPTL DFCT W BYPASS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMYOCARDIAL CLOSURE V-SEPTL DFCT W O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0166T","description":"TRANSMYOCARDIAL CLOSURE V-SEPTL DFCT W O BYPASS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPERINEAL FOCAL LASER ABLTJ MAL PRST8 TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0655T","description":"TRANSPERINEAL FOCAL LASER ABLTJ MAL PRST8 TISS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPERINL IMPL PERM ADJ BALLOON CONT DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9746","description":"TRANSPERINL IMPL PERM ADJ BALLOON CONT DEVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANT REL LODG MEALS  AND  TRNSPRT PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9975","description":"TRANSPLANT REL LODG MEALS  AND  TRNSPRT PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANTATION OF LIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47136","description":"TRANSPLANTATION OF LIVER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANTATION OF MULTIVISCERAL ORGANS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2054","description":"TRANSPLANTATION OF MULTIVISCERAL ORGANS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANTATION SMALL INTESTINE AND LIVER ALLOGRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2053","description":"TRANSPLANTATION SMALL INTESTINE AND LIVER ALLOGRAFTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPORTATION PRTBLE EKG FACL/LOCATION PER PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"R0076","description":"TRANSPORTATION PRTBLE EKG FACL/LOCATION PER PT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTRACHEAL INJECTION BRONCHOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31715","description":"TRANSTRACHEAL INJECTION BRONCHOGRAPHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETHRAL DESTRUC PROS TISS;BY RF WV THRM TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9748","description":"TRANSURETHRAL DESTRUC PROS TISS;BY RF WV THRM TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSVAGINAL BIOMECHANICAL MAPPING W/REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0487T","description":"TRANSVAGINAL BIOMECHANICAL MAPPING W/REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSVERSE ARCH GRAFT W CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33870","description":"TRANSVERSE ARCH GRAFT W CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRASTUZUMAB ADMINISTERED W/I 12 MO OF DIAGNOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9835","description":"TRASTUZUMAB ADMINISTERED W/I 12 MO OF DIAGNOSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRASTUZUMAB NOT ADMINISTERED W/I 12 MONTHS OF DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9837","description":"TRASTUZUMAB NOT ADMINISTERED W/I 12 MONTHS OF DX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRAUMA RESPONSE TEAM ASSOC W/HOSP CC SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0390","description":"TRAUMA RESPONSE TEAM ASSOC W/HOSP CC SERVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREAT HYOID BONE FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21495","description":"TREAT HYOID BONE FRACTURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREAT LUNG LINING CHEMICALLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32005","description":"TREAT LUNG LINING CHEMICALLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREAT PELVIC RING FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27193","description":"TREAT PELVIC RING FRACTURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREAT PELVIC RING FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27194","description":"TREAT PELVIC RING FRACTURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATED WATER FOR PERITONEAL DIALYSIS PER GALLON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4714","description":"TREATED WATER FOR PERITONEAL DIALYSIS PER GALLON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT OF COLLAPSED LUNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32002","description":"TREATMENT OF COLLAPSED LUNG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT OF RIB FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21800","description":"TREATMENT OF RIB FRACTURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT OF RIB FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21805","description":"TREATMENT OF RIB FRACTURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT OF RIB FRACTURE(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21810","description":"TREATMENT OF RIB FRACTURE(S)","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREPONEMA PALLIDUM, CONFIRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86781","description":"TREPONEMA PALLIDUM, CONFIRM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRETINOIN TOPICAL 5 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0117","description":"TRETINOIN TOPICAL 5 GRAMS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRH STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80440","description":"TRH STIMULATION PANEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIAMCINOLONE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7683","description":"TRIAMCINOLONE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIAMCINOLONE INHAL COMP PROD UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7684","description":"TRIAMCINOLONE INHAL COMP PROD UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIFOCAL VISION PRESCRIPTION LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0508","description":"TRIFOCAL VISION PRESCRIPTION LENS PER LENS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIGEMINAL DIVISION BLOCK ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9212","description":"TRIGEMINAL DIVISION BLOCK ANESTHESIA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIMETHOBENZAMIDE HCL 250 MG ORL NOT GT 48 HR DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0173","description":"TRIMETHOBENZAMIDE HCL 250 MG ORL NOT GT 48 HR DOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRISMUS APPLIANCE NOT FOR TMD TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5937","description":"TRISMUS APPLIANCE NOT FOR TMD TREATMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML PERIPH ATHRC W/RS and I ABDOM AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0236T","description":"TRLUML PERIPH ATHRC W/RS and I ABDOM AORTA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML PERIPH ATHRC W/RS and I BRCHIOCPHL EA VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0237T","description":"TRLUML PERIPH ATHRC W/RS and I BRCHIOCPHL EA VSL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0238T","description":"TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML PERIPHERAL ATHERECTOMY RENAL ARTERY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0234T","description":"TRLUML PERIPHERAL ATHERECTOMY RENAL ARTERY EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML PERIPHERAL ATHERECTOMY VISCERAL ARTERY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0235T","description":"TRLUML PERIPHERAL ATHERECTOMY VISCERAL ARTERY EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRN AND ED REL CARE AND TX PTS DISABL MENTL HLTH-SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0177","description":"TRN AND ED REL CARE AND TX PTS DISABL MENTL HLTH-SESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSCARPL MC PART HND DISARTIC PROS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6025","description":"TRNSCARPL MC PART HND DISARTIC PROS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSCATH OCCL/EMBOLIZ TUMR DESTRUC PERQ METH USI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S2095","description":"TRNSCATH OCCL/EMBOLIZ TUMR DESTRUC PERQ METH USI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSCUT ELECT MODLATION PAIN REPROCES EA TX SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0278T","description":"TRNSCUT ELECT MODLATION PAIN REPROCES EA TX SESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSF BENCH HEVY DUTY TUB/TOILET W/WO COMMODE OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0248","description":"TRNSF BENCH HEVY DUTY TUB/TOILET W/WO COMMODE OP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSF OF CARE DUR ANESTHETIC TO ICU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9657","description":"TRNSF OF CARE DUR ANESTHETIC TO ICU","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSLUM BLLN ANGIO PERQ; MNT HD AV FIST GFT; ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0392","description":"TRNSLUM BLLN ANGIO PERQ; MNT HD AV FIST GFT; ART","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSLUM BLLN ANGIO PERQ; MNT HD AV FIST GFT; VEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0393","description":"TRNSLUM BLLN ANGIO PERQ; MNT HD AV FIST GFT; VEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38209","description":"TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38208","description":"TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38207","description":"TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38215","description":"TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38210","description":"TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38214","description":"TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38213","description":"TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38212","description":"TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38211","description":"TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT COSTS CLIN TRIAL PRTCP  AND  ONE CAREGIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9992","description":"TRNSPRT COSTS CLIN TRIAL PRTCP  AND  ONE CAREGIVER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT WAIT TIME AIR AMB and NON-EMERG VEH 1/2 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2007","description":"TRNSPRT WAIT TIME AIR AMB and NON-EMERG VEH 1/2 HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ ESOPH W RPR ESOPHAGEAL VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43401","description":"TRNSXJ ESOPH W RPR ESOPHAGEAL VARICES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ LIG CAROTID ARTERY SINUS W RPR ANAST GRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61610","description":"TRNSXJ LIG CAROTID ARTERY SINUS W RPR ANAST GRFT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ LIG CRTD ART PETROUS CANAL RPR ANAST GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61612","description":"TRNSXJ LIG CRTD ART PETROUS CANAL RPR ANAST GRF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL ABLTJ MAL PRST8 TISS HI ENERGY WATER VAPOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0582T","description":"TRURL ABLTJ MAL PRST8 TISS HI ENERGY WATER VAPOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTE CMPL DUR REST  and  CVST W/I and R W/PHYS SUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8930","description":"TTE CMPL DUR REST  and  CVST W/I and R W/PHYS SUP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTE CMPL SPEC DOPPLER  AND  COLOR FLOW DOPPLER ECHO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8929","description":"TTE CMPL SPEC DOPPLER  AND  COLOR FLOW DOPPLER ECHO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTE FLW W/CNTRST R-T 2D INCL M-MODE REC FU/LTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8924","description":"TTE FLW W/CNTRST R-T 2D INCL M-MODE REC FU/LTD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTE FLW W/CNTRST R-T DOC 2D INCL M-MODE REC CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8923","description":"TTE FLW W/CNTRST R-T DOC 2D INCL M-MODE REC CMPL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTE W/CNTRST INCL M-MODE REC REST  and  CV ST W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8928","description":"TTE W/CNTRST INCL M-MODE REC REST  and  CV ST W/I and R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTE W/CONTRAST OR W/O FLW W/CONTRAST; COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8921","description":"TTE W/CONTRAST OR W/O FLW W/CONTRAST; COMPLETE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTE W/CONTRAST OR W/O FLW W/CONTRAST; F/U OR LTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C8922","description":"TTE W/CONTRAST OR W/O FLW W/CONTRAST; F/U OR LTD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTHRC EXPOS CATH-DELIV AORTIC VALVE W O CARD BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0258T","description":"TTHRC EXPOS CATH-DELIV AORTIC VALVE W O CARD BYP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH and ANGRPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0646T","description":"TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH and ANGRPH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0570T","description":"TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0569T","description":"TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUB STOOL OR BENCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0245","description":"TUB STOOL OR BENCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBE PERICARDIOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33015","description":"TUBE PERICARDIOSTOMY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4281","description":"TUBING FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUMOR/NODES/HISTO GRADE DOCUMENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"3260F","description":"TUMOR/NODES/HISTO GRADE DOCUMENTED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 AMBLYOPIA ASSMT PERF PHYS/QHP W/REPORT CAL MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0688T","description":"TX AMBLYOPIA ASSMT PERF PHYS/QHP W/REPORT CAL MO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX AMBLYOPIA DEV SUPLY EDUCATIONAL SETUP 1ST SES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0687T","description":"TX AMBLYOPIA DEV SUPLY EDUCATIONAL SETUP 1ST SES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 COMPLICATIONS - UNUSUAL CIRCUMSTANCES REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9930","description":"TX COMPLICATIONS - UNUSUAL CIRCUMSTANCES REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY NTRSTL REQ TOT HYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59135","description":"TX ECTOPIC PREGNANCY NTRSTL REQ TOT HYST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX PARENTERAL DRUGS 2 OR GT  ADMINISTRATIONS DIFF MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9612","description":"TX PARENTERAL DRUGS 2 OR GT  ADMINISTRATIONS DIFF MED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX PLAN CARE COORD MGMT CA EST PT CHG REGIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0354","description":"TX PLAN CARE COORD MGMT CA EST PT CHG REGIMEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX PLANNING CARE COORDINATION MGMT CANCR INIT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0353","description":"TX PLANNING CARE COORDINATION MGMT CANCR INIT TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX PLANNING MAG FLD INDCTJ ABLTJ MAL PRST8 TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0738T","description":"TX PLANNING MAG FLD INDCTJ ABLTJ MAL PRST8 TISS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX PRO DX INJ NEW DRUG ADDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90775","description":"TX PRO DX INJ NEW DRUG ADDON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX PRO DX INJ SAME DRUG ADON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90776","description":"TX PRO DX INJ SAME DRUG ADON","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX PROPH DG ADDL SEQ IV INF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90767","description":"TX PROPH DG ADDL SEQ IV INF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOSTOMY AUTOMATED TUBE DELIVERY SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0583T","description":"TYMPANOSTOMY AUTOMATED TUBE DELIVERY SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPE ANATOMIC LOCATION ACTV ALL DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0920","description":"TYPE ANATOMIC LOCATION ACTV ALL DOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPHOID VACCINE AKD SC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90693","description":"TYPHOID VACCINE AKD SC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPHOID VACCINE H-P SC ID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90692","description":"TYPHOID VACCINE H-P SC ID","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPHOID VACCINE LIVE ORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90690","description":"TYPHOID VACCINE LIVE ORAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90691","description":"TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYROSINEMIA TYPE 1 MNTR BLD CARD SAMP QUAN MEAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0383U","description":"TYROSINEMIA TYPE 1 MNTR BLD CARD SAMP QUAN MEAS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UE MED TUBING/LINES ENCL/COV DEVC RSTR ELBOW ROM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0711","description":"UE MED TUBING/LINES ENCL/COV DEVC RSTR ELBOW ROM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRAFILTRATION MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9007","description":"ULTRAFILTRATION MONITOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ABDOMINAL WITH CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9744","description":"ULTRASOUND ABDOMINAL WITH CONTRAST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND ELASTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0346T","description":"ULTRASOUND ELASTOGRAPHY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND GUID MULTIFETAL PG RDUC TECH CMPNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8055","description":"ULTRASOUND GUID MULTIFETAL PG RDUC TECH CMPNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNATTEND SLEEP STUDY W TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0203T","description":"UNATTEND SLEEP STUDY W TIME","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNATTENDED SLEEP STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0204T","description":"UNATTENDED SLEEP STUDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNCLASS RX/BIOLOGICAL USED FOR ESRD ON DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3591","description":"UNCLASS RX/BIOLOGICAL USED FOR ESRD ON DIALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNCLASSIFIED BIOLOGICS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3590","description":"UNCLASSIFIED BIOLOGICS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNCLASSIFIED DRUGS OR BIOLOGICALS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9399","description":"UNCLASSIFIED DRUGS OR BIOLOGICALS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNIPUNCTURE CONTROL SYSTEM FOR HEMODIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1580","description":"UNIPUNCTURE CONTROL SYSTEM FOR HEMODIALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNITE BIOMATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4129","description":"UNITE BIOMATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTD PX MED RADJ PHYSIC DOSIM and TX DEV and SPEC SVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77399","description":"UNLISTD PX MED RADJ PHYSIC DOSIM and TX DEV and SPEC SVC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED ALLERGY/CLINICAL IMMUNOLOGIC SVC/PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95199","description":"UNLISTED ALLERGY/CLINICAL IMMUNOLOGIC SVC/PX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CARDIOVASCULAR PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78499","description":"UNLISTED CARDIOVASCULAR PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CARDIOVASCULAR SERVICE/PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93799","description":"UNLISTED CARDIOVASCULAR SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CHEMOTHERAPY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96549","description":"UNLISTED CHEMOTHERAPY PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED COMPUTED TOMOGRAPHY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76497","description":"UNLISTED COMPUTED TOMOGRAPHY PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CRANIOFACIAL  AND  MAXILLOFACIAL PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21299","description":"UNLISTED CRANIOFACIAL  AND  MAXILLOFACIAL PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CYTOGENETIC STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88299","description":"UNLISTED CYTOGENETIC STUDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CYTOPATHOLOGY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88199","description":"UNLISTED CYTOPATHOLOGY PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED DIAGNOSTIC GASTROENTEROLOGY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91299","description":"UNLISTED DIAGNOSTIC GASTROENTEROLOGY PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED FETAL INVASIVE PX W/ULTRASOUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59897","description":"UNLISTED FETAL INVASIVE PX W/ULTRASOUND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED GASTROINTESTINAL PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78299","description":"UNLISTED GASTROINTESTINAL PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED GENITOURINARY PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78799","description":"UNLISTED GENITOURINARY PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED HEMATOLOGY  AND  COAGULATION PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85999","description":"UNLISTED HEMATOLOGY  AND  COAGULATION PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED HEMATOP RET/ENDO and LYMPHATIC DX NUC MED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78199","description":"UNLISTED HEMATOP RET/ENDO and LYMPHATIC DX NUC MED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED HOME VISIT SERVICE/PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99600","description":"UNLISTED HOME VISIT SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED HYSTEROSCOPY PROCEDURE UTERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58579","description":"UNLISTED HYSTEROSCOPY PROCEDURE UTERUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED IMMUNE GLOBULIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90399","description":"UNLISTED IMMUNE GLOBULIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED IMMUNOLOGY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86849","description":"UNLISTED IMMUNOLOGY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE APPENDIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44979","description":"UNLISTED LAPAROSCOPY PROCEDURE APPENDIX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE BILIARY TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47579","description":"UNLISTED LAPAROSCOPY PROCEDURE BILIARY TRACT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51999","description":"UNLISTED LAPAROSCOPY PROCEDURE BLADDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE ENDOCRINE SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60659","description":"UNLISTED LAPAROSCOPY PROCEDURE ENDOCRINE SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43289","description":"UNLISTED LAPAROSCOPY PROCEDURE ESOPHAGUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE OVIDUCT OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58679","description":"UNLISTED LAPAROSCOPY PROCEDURE OVIDUCT OVARY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE RECTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45499","description":"UNLISTED LAPAROSCOPY PROCEDURE RECTUM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE RENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50549","description":"UNLISTED LAPAROSCOPY PROCEDURE RENAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE SPLEEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38129","description":"UNLISTED LAPAROSCOPY PROCEDURE SPLEEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE TESTIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54699","description":"UNLISTED LAPAROSCOPY PROCEDURE TESTIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50949","description":"UNLISTED LAPAROSCOPY PROCEDURE URETER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PROCEDURE UTERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58578","description":"UNLISTED LAPAROSCOPY PROCEDURE UTERUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PX INTESTINE XCP RECTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44238","description":"UNLISTED LAPAROSCOPY PX INTESTINE XCP RECTUM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PX LYMPHATIC SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38589","description":"UNLISTED LAPAROSCOPY PX LYMPHATIC SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPAROSCOPY PX MATERNITY CARE AND DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59898","description":"UNLISTED LAPAROSCOPY PX MATERNITY CARE AND DELIVERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED LAPROSCOPY PROCEDURE SPERMATIC CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55559","description":"UNLISTED LAPROSCOPY PROCEDURE SPERMATIC CORD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MAGNETIC RESONANCE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76498","description":"UNLISTED MAGNETIC RESONANCE PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MAXILLOFACIAL PROSTHETIC PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21089","description":"UNLISTED MAXILLOFACIAL PROSTHETIC PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MICROBIOLOGY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87999","description":"UNLISTED MICROBIOLOGY PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MISCELLANEOUS PATHOLOGY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89240","description":"UNLISTED MISCELLANEOUS PATHOLOGY TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MISCELLANEOUS PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78999","description":"UNLISTED MISCELLANEOUS PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MODALITY SPEC TYPE and TIME CONSTANT ATTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97039","description":"UNLISTED MODALITY SPEC TYPE and TIME CONSTANT ATTN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MUSCULOSKELETAL PROCEDURE HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21499","description":"UNLISTED MUSCULOSKELETAL PROCEDURE HEAD","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MUSCULOSKELETAL PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78399","description":"UNLISTED MUSCULOSKELETAL PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED NECROPSY (AUTOPSY) PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88099","description":"UNLISTED NECROPSY (AUTOPSY) PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED NERVOUS SYSTEM PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78699","description":"UNLISTED NERVOUS SYSTEM PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED NEUROLOGICAL/NEUROMUSCULAR DX PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95999","description":"UNLISTED NEUROLOGICAL/NEUROMUSCULAR DX PX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED NONINVASIVE VASCULAR DIAGNOSTIC STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93998","description":"UNLISTED NONINVASIVE VASCULAR DIAGNOSTIC STUDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED OTORHINOLARYNGOLOGICAL SERVICE/PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92700","description":"UNLISTED OTORHINOLARYNGOLOGICAL SERVICE/PX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97799","description":"UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PREVENTIVE MEDICINE SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99429","description":"UNLISTED PREVENTIVE MEDICINE SERVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROC MISCELLANEOUS PROSTHETIC SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8499","description":"UNLISTED PROC MISCELLANEOUS PROSTHETIC SERVICES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ABDOMEN PERITONEUM  AND  OMENTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49999","description":"UNLISTED PROCEDURE ABDOMEN PERITONEUM  AND  OMENTUM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ACCESSORY SINUSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31299","description":"UNLISTED PROCEDURE ACCESSORY SINUSES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ANTERIOR SEGMENT EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66999","description":"UNLISTED PROCEDURE ANTERIOR SEGMENT EYE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ANUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46999","description":"UNLISTED PROCEDURE ANUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ARTHROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29999","description":"UNLISTED PROCEDURE ARTHROSCOPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE BILIARY TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47999","description":"UNLISTED PROCEDURE BILIARY TRACT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19499","description":"UNLISTED PROCEDURE BREAST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE CARDIAC SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33999","description":"UNLISTED PROCEDURE CARDIAC SURGERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE CASTING/STRAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29799","description":"UNLISTED PROCEDURE CASTING/STRAPPING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77799","description":"UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE CONJUNCTIVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68399","description":"UNLISTED PROCEDURE CONJUNCTIVA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41899","description":"UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE DIAPHRAGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39599","description":"UNLISTED PROCEDURE DIAPHRAGM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ENDOCRINE SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60699","description":"UNLISTED PROCEDURE ENDOCRINE SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE EXCISION PRESSURE ULCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15999","description":"UNLISTED PROCEDURE EXCISION PRESSURE ULCER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE EXTERNAL EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69399","description":"UNLISTED PROCEDURE EXTERNAL EAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE EXTRAOCULAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67399","description":"UNLISTED PROCEDURE EXTRAOCULAR MUSCLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE EYELIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67999","description":"UNLISTED PROCEDURE EYELIDS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE FEMUR/KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27599","description":"UNLISTED PROCEDURE FEMUR/KNEE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE FOOT/TOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28899","description":"UNLISTED PROCEDURE FOOT/TOES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE FOREARM/WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25999","description":"UNLISTED PROCEDURE FOREARM/WRIST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE HANDS/FINGERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26989","description":"UNLISTED PROCEDURE HANDS/FINGERS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE HEMIC OR LYMPHATIC SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38999","description":"UNLISTED PROCEDURE HEMIC OR LYMPHATIC SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE HUMERUS/ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24999","description":"UNLISTED PROCEDURE HUMERUS/ELBOW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE INNER EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69949","description":"UNLISTED PROCEDURE INNER EAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE INTESTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G6021","description":"UNLISTED PROCEDURE INTESTINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE LACRIMAL SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68899","description":"UNLISTED PROCEDURE LACRIMAL SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE LARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31599","description":"UNLISTED PROCEDURE LARYNX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE LEG/ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27899","description":"UNLISTED PROCEDURE LEG/ANKLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE LIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40799","description":"UNLISTED PROCEDURE LIPS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE LIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47399","description":"UNLISTED PROCEDURE LIVER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE LUNGS  AND  PLEURA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32999","description":"UNLISTED PROCEDURE LUNGS  AND  PLEURA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE MALE GENITAL SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55899","description":"UNLISTED PROCEDURE MALE GENITAL SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE MATERNITY CARE  AND  DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59899","description":"UNLISTED PROCEDURE MATERNITY CARE  AND  DELIVERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE MEDIASTINUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39499","description":"UNLISTED PROCEDURE MEDIASTINUM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE MIDDLE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69799","description":"UNLISTED PROCEDURE MIDDLE EAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE MUSCSKELETAL SYSTEM GENERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20999","description":"UNLISTED PROCEDURE MUSCSKELETAL SYSTEM GENERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE NECK/THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21899","description":"UNLISTED PROCEDURE NECK/THORAX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE NOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30999","description":"UNLISTED PROCEDURE NOSE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE ORBIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67599","description":"UNLISTED PROCEDURE ORBIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE PALATE UVULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42299","description":"UNLISTED PROCEDURE PALATE UVULA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE PANCREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48999","description":"UNLISTED PROCEDURE PANCREAS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE PELVIS/HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27299","description":"UNLISTED PROCEDURE PELVIS/HIP JOINT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE PHARYNX ADENOIDS/TONSILS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42999","description":"UNLISTED PROCEDURE PHARYNX ADENOIDS/TONSILS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE POSTERIOR SEGMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"67299","description":"UNLISTED PROCEDURE POSTERIOR SEGMENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE SHOULDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23929","description":"UNLISTED PROCEDURE SHOULDER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE SMALL INTESTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44799","description":"UNLISTED PROCEDURE SMALL INTESTINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE SPINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22899","description":"UNLISTED PROCEDURE SPINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43999","description":"UNLISTED PROCEDURE STOMACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE TEMPORAL BONE MIDDLE FOSSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69979","description":"UNLISTED PROCEDURE TEMPORAL BONE MIDDLE FOSSA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE THERAPEUTIC RADIOLOGY TX MGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77499","description":"UNLISTED PROCEDURE THERAPEUTIC RADIOLOGY TX MGMT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE TONGUE FLOOR MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41599","description":"UNLISTED PROCEDURE TONGUE FLOOR MOUTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE TRACHEA BRONCHI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31899","description":"UNLISTED PROCEDURE TRACHEA BRONCHI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE URINARY SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53899","description":"UNLISTED PROCEDURE URINARY SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE VASCULAR INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36299","description":"UNLISTED PROCEDURE VASCULAR INJECTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE VASCULAR SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37799","description":"UNLISTED PROCEDURE VASCULAR SURGERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PROCEDURE VESTIBULE MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40899","description":"UNLISTED PROCEDURE VESTIBULE MOUTH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PSYCHIATRIC SERVICE/PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90899","description":"UNLISTED PSYCHIATRIC SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PULMONARY SERVICE/PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94799","description":"UNLISTED PULMONARY SERVICE/PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX ABDOMEN MUSCULOSKELETAL SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22999","description":"UNLISTED PX ABDOMEN MUSCULOSKELETAL SYSTEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX FEMALE GENITAL SYSTEM NONOBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58999","description":"UNLISTED PX FEMALE GENITAL SYSTEM NONOBSTETRICAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX MECKEL'S DIVERTICULUM  AND  MESENTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44899","description":"UNLISTED PX MECKEL'S DIVERTICULUM  AND  MESENTERY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX SALIVARY GLANDS/DUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42699","description":"UNLISTED PX SALIVARY GLANDS/DUCTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX SKIN MUC MEMBRANE  AND  SUBQ TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17999","description":"UNLISTED PX SKIN MUC MEMBRANE  AND  SUBQ TISSUE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX THER RADIOLOGY CLINICAL TX PLANNING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77299","description":"UNLISTED PX THER RADIOLOGY CLINICAL TX PLANNING","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED REPRODUCTIVE MEDICINE LAB PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89398","description":"UNLISTED REPRODUCTIVE MEDICINE LAB PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED RESPIRATORY PX DX NUCLEAR MEDICINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78599","description":"UNLISTED RESPIRATORY PX DX NUCLEAR MEDICINE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED SPECIAL DERMATOLOGICAL SERVICE/PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96999","description":"UNLISTED SPECIAL DERMATOLOGICAL SERVICE/PX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED SPECIAL SERVICE PROCEDURE/REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99199","description":"UNLISTED SPECIAL SERVICE PROCEDURE/REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED SURGICAL PATHOLOGY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88399","description":"UNLISTED SURGICAL PATHOLOGY PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96379","description":"UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED TRANSFUSION MEDICINE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86999","description":"UNLISTED TRANSFUSION MEDICINE PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED URINALYSIS PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81099","description":"UNLISTED URINALYSIS PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED US PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76999","description":"UNLISTED US PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED VACCINE/TOXOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90749","description":"UNLISTED VACCINE/TOXOID","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED VASCULAR ENDOSCOPY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37501","description":"UNLISTED VASCULAR ENDOSCOPY PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNPLAN RTN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9308","description":"UNPLAN RTN OP ROOM FOR PROC W/I 30 DAY PRIN PROC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 RUPT POST CAP RQR VITRECT DUR CAT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9389","description":"UNPLANNED RUPT POST CAP RQR VITRECT DUR CAT SURG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNS MAXILLOFCE PROSTH BR PROVIDED NON-PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8048","description":"UNS MAXILLOFCE PROSTH BR PROVIDED NON-PHYSICIAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNS ORAL DOSAGE ANTI-EMETIC NOT  GT 48 HR DOSE REG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0181","description":"UNS ORAL DOSAGE ANTI-EMETIC NOT  GT 48 HR DOSE REG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNS REMOVABLE PROSTHODONTIC PROCEDURE REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5899","description":"UNS REMOVABLE PROSTHODONTIC PROCEDURE REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSCHD/EMERG DIALYSIS TX ESRD PT HOS OP NOT CERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0257","description":"UNSCHD/EMERG DIALYSIS TX ESRD PT HOS OP NOT CERT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSCHEDULED DRESSING CHANGE NOT TX DENTIST STAFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4920","description":"UNSCHEDULED DRESSING CHANGE NOT TX DENTIST STAFF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSKILLED RESPITE CARE NOT HOSPICE; PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5150","description":"UNSKILLED RESPITE CARE NOT HOSPICE; PER 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSKILLED RESPITE CARE NOT HOSPICE; PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5151","description":"UNSKILLED RESPITE CARE NOT HOSPICE; PER DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED ADJUNCTIVE PROCEDURE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D9999","description":"UNSPECIFIED ADJUNCTIVE PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED DIAGNOSTIC PROCEDURE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0999","description":"UNSPECIFIED DIAGNOSTIC PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED ENDODONTIC PROCEDURE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D3999","description":"UNSPECIFIED ENDODONTIC PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED FIXED PROSTHODONTIC PROCEDURE REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6999","description":"UNSPECIFIED FIXED PROSTHODONTIC PROCEDURE REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED IMPLANT PROCEDURE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D6199","description":"UNSPECIFIED IMPLANT PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED MAXILLOFACIAL PROSTHESIS BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5999","description":"UNSPECIFIED MAXILLOFACIAL PROSTHESIS BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED ORAL SURGERY PROCEDURE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7999","description":"UNSPECIFIED ORAL SURGERY PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED ORTHODONTIC PROCEDURE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D8999","description":"UNSPECIFIED ORTHODONTIC PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED PERIODONTAL PROCEDURE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D4999","description":"UNSPECIFIED PERIODONTAL PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED PREVENTIVE PROCEDURE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D1999","description":"UNSPECIFIED PREVENTIVE PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED RESTORATIVE PROCEDURE BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D2999","description":"UNSPECIFIED RESTORATIVE PROCEDURE BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNSPECIFIED TMD THERAPY BY REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D7899","description":"UNSPECIFIED TMD THERAPY BY REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNUSUAL TRAVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99082","description":"UNUSUAL TRAVEL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM FX ORTH COMB HUM RADUS ULNAR WRST CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3986","description":"UP EXTRM FX ORTH COMB HUM RADUS ULNAR WRST CSTM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM FX ORTHOS FORARM HND W WRST HINGE CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3985","description":"UP EXTRM FX ORTHOS FORARM HND W WRST HINGE CSTM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD HEAVY DUTY FEATURE ANY ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6639","description":"UPPER EXTREMITY ADD HEAVY DUTY FEATURE ANY ELBOW","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY PROSTHESIS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7499","description":"UPPER EXTREMITY PROSTHESIS NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER GI ENDOSCOPY SIMPLE EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43234","description":"UPPER GI ENDOSCOPY SIMPLE EXAMINATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPR GI NDSC ABLTJ LES X RMVL FORCEPS CAUT SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43258","description":"UPR GI NDSC ABLTJ LES X RMVL FORCEPS CAUT SNARE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPR GI NDSC TNDSC STENT PLMT W PREDILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43256","description":"UPR GI NDSC TNDSC STENT PLMT W PREDILAT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRA PRESSURE PROFILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51772","description":"URETHRA PRESSURE PROFILE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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 PROT TST NOT PERF RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8773","description":"URINE PROT TST NOT PERF RSN NOT GVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE PROTEIN TEST RESULT DOC  AND  REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8770","description":"URINE PROTEIN TEST RESULT DOC  AND  REV","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE VOIDING PRESSURE STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51795","description":"URINE VOIDING PRESSURE STUDY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABLATJ UTERINE LEIOMYOMATA  LT  200 CC TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0071T","description":"US ABLATJ UTERINE LEIOMYOMATA  LT  200 CC TISSUE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US B-SCAN  AND   REAL TIME DOC; AAA SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0389","description":"US B-SCAN  AND   REAL TIME DOC; AAA SCR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US EXAM BREAST(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76645","description":"US EXAM BREAST(S)","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US EXAM, EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76880","description":"US EXAM, EXTREMITY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE PERICARDIOCENTESIS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76930","description":"US GUIDANCE PERICARDIOCENTESIS RS AND I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76805","description":"US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.2516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.2516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":182.6829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":182.6829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76817","description":"US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":137.9324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":137.9324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":89.5011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":89.5011,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US REMS B1 DNS and FX RSK ASSMT 1 Plus SITE HIPS PLVS/SPI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0815T","description":"US REMS B1 DNS and FX RSK ASSMT 1 Plus SITE HIPS PLVS/SPI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US STUDY FOLLOW UP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76970","description":"US STUDY FOLLOW UP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSVAGINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76830","description":"US TRANSVAGINAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":134.2516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":134.2516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":182.6829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":182.6829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":48.4313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9487","description":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q9989","description":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE FIBROID EMBOLIZATION PERQ W RAD GID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37210","description":"UTERINE FIBROID EMBOLIZATION PERQ W RAD GID","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UTIL SRVC SUPP MED EQP and ASSTIV TECH/DEVC WAIVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2035","description":"UTIL SRVC SUPP MED EQP and ASSTIV TECH/DEVC WAIVER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAC DRAIN BOTTLE AND TUBING W IMPL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7043","description":"VAC DRAIN BOTTLE AND TUBING W IMPL CATH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VACCINIA IMMUNE GLOBULIN HUMAN IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90393","description":"VACCINIA IMMUNE GLOBULIN HUMAN IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VACCINIA VIRUS VACC LIVE 0.3 ML DOS FOR PERQ USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90622","description":"VACCINIA VIRUS VACC LIVE 0.3 ML DOS FOR PERQ USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST  GT 250 GM COLPOURTCSTOPEXY W/WO NDSC CTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58293","description":"VAG HYST  GT 250 GM COLPOURTCSTOPEXY W/WO NDSC CTR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC COMPL RMVL VAG WALL TOT PEL LMPHADEC BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57112","description":"VAGNC COMPL RMVL VAG WALL TOT PEL LMPHADEC BX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY PULMONARY VALVE CLSD HEART TRANSVENTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33470","description":"VALVOTOMY PULMONARY VALVE CLSD HEART TRANSVENTR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33401","description":"VALVULOPLASTY OPEN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY W CP BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33403","description":"VALVULOPLASTY W CP BYPASS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIABLE SPHERICITY LENS OTHER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2499","description":"VARIABLE SPHERICITY LENS OTHER TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90396","description":"VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VBAC CLASSES NON-PHYSICIAN PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9439","description":"VBAC CLASSES NON-PHYSICIAN PER SESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCV W O PRESS SUPP INVASV INTRFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0450","description":"VCV W O PRESS SUPP INVASV INTRFACE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCV W O PRSS SUPP NONINVASV INTRFCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0461","description":"VCV W O PRSS SUPP NONINVASV INTRFCE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEHICLE MODIFICATIONS WAIVER; PER SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2039","description":"VEHICLE MODIFICATIONS WAIVER; PER SERVICE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENA CAVA FILTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C1880","description":"VENA CAVA FILTER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENDAJE AC PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4279","description":"VENDAJE AC PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS PRESSURE CLAMP FOR HEMODIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4918","description":"VENOUS PRESSURE CLAMP FOR HEMODIALYSIS EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERIFICATION  and  DOC SUDDEN/RAPIDLY PROG HEAR LOSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8565","description":"VERIFICATION  and  DOC SUDDEN/RAPIDLY PROG HEAR LOSS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL AXIAL DECOMPRESSION PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9090","description":"VERTEBRAL AXIAL DECOMPRESSION PER SESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTICAL BITEWINGS - 7 TO 8 RADIOGRAPHIC IMAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0277","description":"VERTICAL BITEWINGS - 7 TO 8 RADIOGRAPHIC IMAGES","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESICULOBULLOUS DISEASE MEDICAMENT CARRIER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D5991","description":"VESICULOBULLOUS DISEASE MEDICAMENT CARRIER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESSEL MAPPING OF VESSELS FOR HEMODIALYSIS ACESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0365","description":"VESSEL MAPPING OF VESSELS FOR HEMODIALYSIS ACESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR DEVICE IMPLANTATION UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0725T","description":"VESTIBULAR DEVICE IMPLANTATION UNILATERAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR REHAB PROGM NON-PHYSICIAN PROV-DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9476","description":"VESTIBULAR REHAB PROGM NON-PHYSICIAN PROV-DIEM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIDEOCONFERENCED CRITICAL CARE EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0189T","description":"VIDEOCONFERENCED CRITICAL CARE EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIDEOCONFERENCED CRITICAL CARE FIRST 30-74 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0188T","description":"VIDEOCONFERENCED CRITICAL CARE FIRST 30-74 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VINCRISTINE SULFATE 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9375","description":"VINCRISTINE SULFATE 2 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRAL CULTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0416","description":"VIRAL CULTURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRTUAL REALITY TECHNOLOGY TO ASSIST THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0770T","description":"VIRTUAL REALITY TECHNOLOGY TO ASSIST THERAPY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRTUAL TREATMENT SIM 3D IMAGE VOLUME/SURF SCAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0393","description":"VIRTUAL TREATMENT SIM 3D IMAGE VOLUME/SURF SCAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISION ITEM OR SERVICE MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2799","description":"VISION ITEM OR SERVICE MISCELLANEOUS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISN SPL ACSS  and / SRVC CMPNT ANOTHER HCPCS CODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2797","description":"VISN SPL ACSS  and / SRVC CMPNT ANOTHER HCPCS CODE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL EP TESTING FOR GLAUCOMA W/INTERPJ  and  REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0464T","description":"VISUAL EP TESTING FOR GLAUCOMA W/INTERPJ  and  REPRT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL EVOKED POTENTIAL ACUITY SCREENING AUTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0333T","description":"VISUAL EVOKED POTENTIAL ACUITY SCREENING AUTO","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FIELD ASSESSMENT PHYS REVIEW AND REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0378T","description":"VISUAL FIELD ASSESSMENT PHYS REVIEW AND REPORT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99172","description":"VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUALIZE A-V SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75790","description":"VISUALIZE A-V SHUNT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITAL CAPACITY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94150","description":"VITAL CAPACITY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITAMIN B-12 ABSRPJ STDY W WO INTRINSIC FACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78272","description":"VITAMIN B-12 ABSRPJ STDY W WO INTRINSIC FACT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITAMIN B-12 ABSRPJ STUDY W INTRINSIC FACTOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78271","description":"VITAMIN B-12 ABSRPJ STUDY W INTRINSIC FACTOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITAMIN B-12 ABSRPJ STUDY W O INTRINSIC FACTOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78270","description":"VITAMIN B-12 ABSRPJ STUDY W O INTRINSIC FACTOR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VITRECTOMY MECH PP APP SR INJ PHRMACL/BIOL AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"C9770","description":"VITRECTOMY MECH PP APP SR INJ PHRMACL/BIOL AGENT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOICE FUNCT LIMIT CURR STATUS TX EPISODE OUTSET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9171","description":"VOICE FUNCT LIMIT CURR STATUS TX EPISODE OUTSET","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOICE FUNCT LIMIT DISCHARGE STATUS D C FROM TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9173","description":"VOICE FUNCT LIMIT DISCHARGE STATUS D C FROM TX","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOICE FUNCT LIMIT PROJ GOAL STATUS TX EPISODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9172","description":"VOICE FUNCT LIMIT PROJ GOAL STATUS TX EPISODE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOLUME REDUCTION BLOOD/BLOOD PRODUCT EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86960","description":"VOLUME REDUCTION BLOOD/BLOOD PRODUCT EACH UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VON WILLEBRAND FACTOR, WILATE, INJ, PER 100 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7184","description":"VON WILLEBRAND FACTOR, WILATE, INJ, PER 100 IU","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VR PX DISSOC SVC OTH PHYS/QHP 1ST 15 MIN 5YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0773T","description":"VR PX DISSOC SVC OTH PHYS/QHP 1ST 15 MIN 5YR OR GT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VR PX DISSOC SVC OTHER PHYS/QHP EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0774T","description":"VR PX DISSOC SVC OTHER PHYS/QHP EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VR PX DISSOC SVC SAME PHYS/QHP 1ST 15 MIN 5YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0771T","description":"VR PX DISSOC SVC SAME PHYS/QHP 1ST 15 MIN 5YR OR GT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VR PX DISSOC SVC SAME PHYS/QHP EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0772T","description":"VR PX DISSOC SVC SAME PHYS/QHP EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VTE P NOT ADM DA OF AFTR ADM NO RSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9200","description":"VTE P NOT ADM DA OF AFTR ADM NO RSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VTE P NOT ADM DAY DAY AFTR HA DOC R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9199","description":"VTE P NOT ADM DAY DAY AFTR HA DOC R","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VTE PROPH DAY OF AFTER HOSP ADMISSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9201","description":"VTE PROPH DAY OF AFTER HOSP ADMISSN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"W I 6 MO FX F 65 OR GRT  DOC BMD RX TX OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8106","description":"W I 6 MO FX F 65 OR GRT  DOC BMD RX TX OP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"W/I PAST 2 YR CALCIUM  and / VIT D OPT NOT ORD/PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2120","description":"W/I PAST 2 YR CALCIUM  and / VIT D OPT NOT ORD/PERF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"W/I PAST 2 YR CALCIUM  and / VITD OPT ORDERED/PERF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G2119","description":"W/I PAST 2 YR CALCIUM  and / VITD OPT ORDERED/PERF","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WAIVER SERVICES; NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T2025","description":"WAIVER SERVICES; NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WARFARIN OTH ORL AC FDA APV NOT PRSC RSN NOT GVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8971","description":"WARFARIN OTH ORL AC FDA APV NOT PRSC RSN NOT GVN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER LOAD TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89235","description":"WATER LOAD TEST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER SOFTENING SYSTEM FOR HEMODIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1625","description":"WATER SOFTENING SYSTEM FOR HEMODIALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WB/RBCS LEUKOCYTES RDUC FRZN DEGLYCEROL WASHD EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9054","description":"WB/RBCS LEUKOCYTES RDUC FRZN DEGLYCEROL WASHD EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCESS WC SEAT/BACK CUSHION NO DME PDAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0669","description":"WC ACCESS WC SEAT/BACK CUSHION NO DME PDAC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS ADD PWR SEAT MECH LINKD LEG ELEV SYS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1009","description":"WC ACCSS ADD PWR SEAT MECH LINKD LEG ELEV SYS EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS SOLID SEAT SUPP BASE MNL LGHTWT PWR WC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2618","description":"WC ACSS SOLID SEAT SUPP BASE MNL LGHTWT PWR WC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/SEAT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1231","description":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/SEAT SYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEARABLE ARTIFICIAL KIDNEY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1632","description":"WEARABLE ARTIFICIAL KIDNEY EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEIGHT MANAGEMENT CLASSES NON-PHYS PER SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9449","description":"WEIGHT MANAGEMENT CLASSES NON-PHYS PER SESSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WELLNESS ASSESSMENT PERFORMED BY NONPHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S5190","description":"WELLNESS ASSESSMENT PERFORMED BY NONPHYSICIAN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY DYNAMIC POS HARDWARE BACK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2398","description":"WHEELCHAIR ACCESSORY DYNAMIC POS HARDWARE BACK","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY POWER STANDING SYS ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2301","description":"WHEELCHAIR ACCESSORY POWER STANDING SYS ANY TYPE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR PEDIATRIC SIZE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1229","description":"WHEELCHAIR PEDIATRIC SIZE NOS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR SEAT CUSHION POWERED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2610","description":"WHEELCHAIR SEAT CUSHION POWERED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR VAN MILEAGE PER MILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0209","description":"WHEELCHAIR VAN MILEAGE PER MILE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR; SPECIALLY SIZED OR CONSTRUCTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1220","description":"WHEELCHAIR; SPECIALLY SIZED OR CONSTRUCTED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO ADD ADJUSTABLE MP FLEXION CONTRL AND IP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3860","description":"WHFO ADD ADJUSTABLE MP FLEXION CONTRL AND IP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO ADD IP EXTEN ASST W MP EXTEN STOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3820","description":"WHFO ADD IP EXTEN ASST W MP EXTEN STOP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO ADD SHORT AND LONG OPPONENS 2 MP ABDUCT ASSIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3815","description":"WHFO ADD SHORT AND LONG OPPONENS 2 MP ABDUCT ASSIST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO ADD SHORT AND LONG OPPONENS MP SPRING EXT ASST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3835","description":"WHFO ADD SHORT AND LONG OPPONENS MP SPRING EXT ASST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO ADD SHORT AND LONG OPPONENS SPRING SWIVEL THUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3840","description":"WHFO ADD SHORT AND LONG OPPONENS SPRING SWIVEL THUMB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO ADD SHORT AND LONG OPPONENS THUMB ABDUCT BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3810","description":"WHFO ADD SHORT AND LONG OPPONENS THUMB ABDUCT BAR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO ADD SHRT AND LNG OPPONENS ADJUSTBL MP FLX CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3855","description":"WHFO ADD SHRT AND LNG OPPONENS ADJUSTBL MP FLX CNTRL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO ADD THUMB IP EXTEN ASST W MP STOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3845","description":"WHFO ADD THUMB IP EXTEN ASST W MP STOP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO ADDITION SHORT AND LONG OPPONENS MP EXT ASSIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3830","description":"WHFO ADDITION SHORT AND LONG OPPONENS MP EXT ASSIST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO ADDITION SHORT AND LONG OPPONENS MP EXT STOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3825","description":"WHFO ADDITION SHORT AND LONG OPPONENS MP EXT STOP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO COMB OPPENHEIMER W KNUCKL BENDR AND TWO ATTCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3950","description":"WHFO COMB OPPENHEIMER W KNUCKL BENDR AND TWO ATTCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO COMB OPPENHEIMER W RVRS KNUCKL AND TWO ATTCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3952","description":"WHFO COMB OPPENHEIMER W RVRS KNUCKL AND TWO ATTCH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO DORS WRIST PREFAB INCLUDES FITTING AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3938","description":"WHFO DORS WRIST PREFAB INCLUDES FITTING AND ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO DORS WRST W OUTRIG ATTCH PREFAB W FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3940","description":"WHFO DORS WRST W OUTRIG ATTCH PREFAB W FIT AND ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO LONG OPPONENS NO ATTACHMENT CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3805","description":"WHFO LONG OPPONENS NO ATTACHMENT CUSTOM FAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO PALMER PREFABRICATED INCLUDES FITTING AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3936","description":"WHFO PALMER PREFABRICATED INCLUDES FITTING AND ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO SHORT OPPONENS NO ATTCH CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3800","description":"WHFO SHORT OPPONENS NO ATTCH CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO SWANSON DESIGN PREFAB INCLUDES FITTING AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3910","description":"WHFO SWANSON DESIGN PREFAB INCLUDES FITTING AND ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO THOMAS SUSPENSION PREFAB INCLUDES FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3926","description":"WHFO THOMAS SUSPENSION PREFAB INCLUDES FIT AND ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO WRST GAUNTLT W THUMB SPICAT CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3907","description":"WHFO WRST GAUNTLT W THUMB SPICAT CSTM FAB","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHIRLPOOL PORTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1300","description":"WHIRLPOOL PORTABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHIRLPOOL TUB WALK IN PORTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K1003","description":"WHIRLPOOL TUB WALK IN PORTABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHIRLPOOL TUB WALK-IN PORTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1301","description":"WHIRLPOOL TUB WALK-IN PORTABLE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR; DTACHBLE ARMS DTACHBLE FOOTRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1140","description":"WHLCHAIR; DTACHBLE ARMS DTACHBLE FOOTRESTS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHO ADD ACTION WRST W DORSIFLX ASST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3850","description":"WHO ADD ACTION WRST W DORSIFLX ASST","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLD LEUKOCYTES REDUCED IRRADIATED EA UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9056","description":"WHOLE BLD LEUKOCYTES REDUCED IRRADIATED EA UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLD/RBCS LEUKOCYTES RDUC CMV-NEG EA UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9051","description":"WHOLE BLD/RBCS LEUKOCYTES RDUC CMV-NEG EA UNIT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WIG ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9282","description":"WIG ANY TYPE EACH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WIRELESS SKIN SNR THERMAL ANISOTROPY MEAS and ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0639T","description":"WIRELESS SKIN SNR THERMAL ANISOTROPY MEAS and ASSMT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERD  AND  DOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9472","description":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERD  AND  DOC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WND SUCT DISPBL DSG ALL ACC  AND  CMPNT ANY TYP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9272","description":"WND SUCT DISPBL DSG ALL ACC  AND  CMPNT ANY TYP EA","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","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":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WORK HARDENING/CONDITIONING 1ST 2 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97545","description":"WORK HARDENING/CONDITIONING 1ST 2 HR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WORK HARDENING/CONDITIONING EACH HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97546","description":"WORK HARDENING/CONDITIONING EACH HOUR","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WORK RELATED/MED DBLT XM OTH/THN TREATING PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99456","description":"WORK RELATED/MED DBLT XM OTH/THN TREATING PHYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WORK RELATED/MED DBLT XM TREATING PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99455","description":"WORK RELATED/MED DBLT XM TREATING PHYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND WARMING WOUND COVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0232","description":"WOUND WARMING WOUND COVER","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST ORTHOSIS ELASTIC PREFAB INCLUDES FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3909","description":"WRIST ORTHOSIS ELASTIC PREFAB INCLUDES FIT AND ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRITING SCORE AT DISCH HIGHER THAN AT ADMISSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8621","description":"WRITING SCORE AT DISCH HIGHER THAN AT ADMISSION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRITING SCORE AT DISCH NOT HIGHER, REAS NOT SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G8622","description":"WRITING SCORE AT DISCH NOT HIGHER, REAS NOT SPEC","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST HND FNGR ORTHOSIS ELAST PREFAB INCL FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3911","description":"WRST HND FNGR ORTHOSIS ELAST PREFAB INCL FIT AND ADJ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-RAY BILE STONE REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74327","description":"X-RAY BILE STONE REMOVAL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-RAY CONTROL CATH INSERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74475","description":"X-RAY CONTROL CATH INSERT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-RAY CONTROL CATH INSERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74480","description":"X-RAY CONTROL CATH INSERT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-RAY EXAM OF HIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73500","description":"X-RAY EXAM OF HIP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-RAY EXAM OF HIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73510","description":"X-RAY EXAM OF HIP","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-RAY EXAM OF HIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73520","description":"X-RAY EXAM OF HIPS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-RAY EXAM OF PELVIS  AND  HIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73540","description":"X-RAY EXAM OF PELVIS  AND  HIPS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-RAY EXAM OF THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73550","description":"X-RAY EXAM OF THIGH","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-RAY EXAM SCLOIOSIS ERECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72090","description":"X-RAY EXAM SCLOIOSIS ERECT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-RAY EXAM SPINE AP AND LAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72010","description":"X-RAY EXAM SPINE AP AND LAT","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-RAY EXAM TRUNK SPINE STAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72069","description":"X-RAY EXAM TRUNK SPINE STAND","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-RAY EXAM, DRY PROCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76150","description":"X-RAY EXAM, DRY PROCESS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-RAY GUIDE, STOMACH TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74350","description":"X-RAY GUIDE, STOMACH TUBE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCELL AMNIO MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4280","description":"XCELL AMNIO MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XCM BIOLOGIC TISSUE MATRIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4142","description":"XCM BIOLOGIC TISSUE MATRIX PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XENOGRAFT IMPLANTATION INTO ARTICULAR SURFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0737T","description":"XENOGRAFT IMPLANTATION INTO ARTICULAR SURFACE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XENOGRAFT TEMP CLOSURE F S N H F G M D EA 100CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15421","description":"XENOGRAFT TEMP CLOSURE F S N H F G M D EA 100CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XENOGRAFT TEMP CLOSURE TRUNK ARM LEG 1ST 100CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15400","description":"XENOGRAFT TEMP CLOSURE TRUNK ARM LEG 1ST 100CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XENOGRAFT TEMP CLOSURE TRUNK ARM LEG EA 100CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15401","description":"XENOGRAFT TEMP CLOSURE TRUNK ARM LEG EA 100CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XENOGRF TEMP CLOSURE F S N H F G M D 1ST 100CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15420","description":"XENOGRF TEMP CLOSURE F S N H F G M D 1ST 100CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL DRG PSEUDOCYST PANCREAS PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48511","description":"XTRNL DRG PSEUDOCYST PANCREAS PRQ","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC GT 48HR LT 7D RECORDING SCAN A/R R and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93241","description":"XTRNL ECG REC GT 48HR LT 7D RECORDING SCAN A/R R and I","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL HRT RATE EPI SEIZ 15 TO 30 DAYS COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0383T","description":"XTRNL HRT RATE EPI SEIZ 15 TO 30 DAYS COMPLETE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL HRT RATE EPI SEIZ 15 TO 30 DAYS R AND I ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0384T","description":"XTRNL HRT RATE EPI SEIZ 15 TO 30 DAYS R AND I ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL HRT RATE EPI SEIZ OVER 30 DAYS COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0385T","description":"XTRNL HRT RATE EPI SEIZ OVER 30 DAYS COMPLETE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL HRT RATE EPI SEIZ OVER 30 DAYS R AND I ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0386T","description":"XTRNL HRT RATE EPI SEIZ OVER 30 DAYS R AND I ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL HRT RATE EPI SEIZ UP TO 14 DAYS COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0381T","description":"XTRNL HRT RATE EPI SEIZ UP TO 14 DAYS COMPLETE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL HRT RATE EPI SEIZ UP TO 14 DAYS R AND I ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0382T","description":"XTRNL HRT RATE EPI SEIZ UP TO 14 DAYS R AND I ONLY","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACT ECG W/O ATTN MNTR IN-OFFICE CONN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0497T","description":"XTRNL PT ACT ECG W/O ATTN MNTR IN-OFFICE CONN","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACT ECG W/O ATTN MNTR R and I PR 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0498T","description":"XTRNL PT ACT ECG W/O ATTN MNTR R and I PR 30 DAYS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL TRNSCRANL MAG STIMJ MEAS EVOKD CRTCL PTNTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0858T","description":"XTRNL TRNSCRANL MAG STIMJ MEAS EVOKD CRTCL PTNTL","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XWRAP PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4204","description":"XWRAP PER SQ CM","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Y SET TUBING FOR PERITONEAL DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4719","description":"Y SET TUBING FOR PERITONEAL DIALYSIS","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9543","description":"YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZALCITABINE 0.375 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0141","description":"ZALCITABINE 0.375 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZANAMIVIR INHAL POWDER THRU INHAL PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9018","description":"ZANAMIVIR INHAL POWDER THRU INHAL PER 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZANAMIVIR INHAL PWDR ADMIN INHAL BRAND PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G9034","description":"ZANAMIVIR INHAL PWDR ADMIN INHAL BRAND PER 10 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZIDOVUDINE ORAL 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0104","description":"ZIDOVUDINE ORAL 100 MG","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZOLEDRONIC ACID, 1 MG, INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3487","description":"ZOLEDRONIC ACID, 1 MG, INJECTION","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90736","description":"ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE","negotiated_rates":[{"provider_references":[216430],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]}]}